'Phacoemulsification tip fracture and how to manage it.'

Autor:	Chelala Elias, Sukkarieh Georges, Al Soueidy Amine, Bejjani Riad
Rok vydání:	2021
Předmět:	medicine.medical_specialty Phacoemulsification genetic structures business.industry medicine.medical_treatment Case Report RE1-994 Cataract Surgery Cataract extraction Ophthalmology Port (medical) Fracture (geology) Medicine business Instrument breakage during phacoemulsification
Zdroj:	American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Vol 22, Iss, Pp 101051-(2021)
ISSN:	2451-9936
DOI:	10.1016/j.ajoc.2021.101051
Popis:	Purpose To describe a rare complication of phacoemulsification (Phaco) cataract extraction. Observations A phaco tip fracture occurred during the sculpting of the nucleus in a cataract extraction surgery of a 60-year-old woman. The surgeon introduced the second instrument through the side port to retrieve the broken portion of the tip while maintaining it inside the sleeve. Conclusions and improtance Phaco tip fracture is a rare but serious complication that all cataract surgeons should be able to manage safely. Main risk factors for phaco tip fractures are: Aspiration Bypass System (ABS) phaco tip design and sterilization and reuse of instruments. A step by step plan of action was described in detail for a surgeon to manage a phaco tip fracture which mainly consists of removing the fractured phaco tip while it is still inside the sleeve to prevent any touch between the sharp broken edge of the tip and any intraocular component.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f34ee532b09aa15be60dda4447209f55 https://doi.org/10.1016/j.ajoc.2021.101051 Zobrazit plný text záznamu