McPherson ZE, Lau OCF, Chen TS, Kam AW, Amjadi S, Zhang MG, Playfair TJ, Agar A, Francis IC. High-speed cannula detachment into the eye during hydrodissection.
Ophthalmic Surg Lasers Imaging Retina 2014;
45:347-9. [PMID:
24972389 DOI:
10.3928/23258160-20140624-01]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2013] [Accepted: 02/12/2014] [Indexed: 11/20/2022]
Abstract
Detachment of a hydrodissection cannula during a phacoemulsification procedure appeared to produce no adverse sequelae during surgery. Day 1 postoperatively, two nonpenetrating hemorrhagic retinal lesions were identified; there was no evidence of posterior capsular perforation. Day 6 postoperatively, the pupil was temporally peaked by a fine vitreous strand running to the main-port incision in the superotemporal cornea. This was divided with Nd:YAG laser, and argon laser was applied to encircle the two retinal lesions. Postoperative uncorrected visual acuity remained 6/4 at day 1, day 6, and week 4 (3 weeks after laser application) follow-up visits. Surgeons must accept responsibility for confirming the integrity of the cannula and syringe connection before beginning hydrodissection, which can be highly destructive to intracameral structures.
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