Intraoperative fracture of phacoemulsification sleeve

BMC Ophthalmology

Case Report

Keith SK Chan¹  David Wong²  Jennifer WH Shum³  Kenneth KW Li⁴ 

[1] Department of Ophthalmology, Queen Mary Hospital, Pokfulam, HKSAR, China;Department of Ophthalmology, Queen Mary Hospital, Pokfulam, HKSAR, China;Eye Institute, LKS Faculty of Medicine, The University of Hong Kong, HKSAR, China;Department of Ophthalmology, United Christian Hospital, HKSAR, Kwun Tong, Kowloon, China;Department of Ophthalmology, United Christian Hospital, HKSAR, Kwun Tong, Kowloon, China;Eye Institute, LKS Faculty of Medicine, The University of Hong Kong, HKSAR, China;

关键词: Anterior Chamber;    Balance Salt Solution;    Posterior Capsule Opacification;    Corneal Incision;    Cortical Cataract;   

DOI  :  10.1186/1471-2415-10-29

 received in 2010-04-12, accepted in 2010-11-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundWe describe a case of intraoperative fracture of phacoemulsification sleeve during phacoemulsification surgery.Case presentationPhacoemulsification surgery was performed in the left eye of a 58-year-old lady with grade II nuclear sclerosis & grade I cortical cataract. Towards the end of quadrant removal, there was anterior chamber instability with impaired followability of nuclear fragments. The distal part of the fractured sleeve remained inside the anterior chamber upon removal of the phacoemulsification probe. The retained sleeve was retrieved with a pair of forceps through the corneal incision site, which did not require widening. There was no missing fragments retained intraocularly and the patient had an uneventful recovery with vision of 20/25 at three months post-operatively.ConclusionPhacoemulsification sleeve fracture is an uncommon complication. With early identification of this condition and proper management, major complications can be avoided.

【 授权许可】

Unknown   
© Shum et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.