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Published byRonaldo Wiggans
Modified over 2 years ago
Corneal complication of phacoemulsification
Historical cataract surgery lens dislocation Extracapsular cataract extraction Intracapsular cataract extraction Extracapsular cataract extraction
Intraocular lens implantation Phacoemulsification Foldable lenses
Small incision Multifocal lenses Accommodative lenses MIC
Pachymetry Cell counting Ambulating surgery
Shorter the time Faster rehabilitation Better visual acuity Far Near
Phacoemulsification = less complication
Complications Epithelial Traumatic Drags and antiseptics
Incisional Irregular incisional Clear corneal problems Corneal folding Descemets trauma
Stromal dissection Scars Astigmatisem Woumd burn Suture problems
Knifes 1.5 mm, 3.2 mm Shape Sharpness Material
Incision sight Superior Temporal Oblique Incision shape One plane Two planes Tree planes
Irrigation (A.C forming) Stromal hydration Descemets trauma Endothelial trauma
Capsulorehexis Needle Forceps
Hydrodisection Descemets trauma Endothelial trauma
Phaco prop Epithelial Stroma Descemets Endothelial
Fluidic irrigation Severity Time Direction
Phaco Machine Needle Percent Time Continuous pals Endothelial distance In the bag In the papillary plane In the A.C
Direct trauma to the endothelium Chopper Phaco needle
Infection Bacteria wound infection Fungal wound infection Herpetic keratitis
Strile ulcerations and stromal melting Rheumatoid arthritis Collagen vascular disease Keratoconjunctivitis sicca
Symptoms and signs Epithelial defect Punctuate Localized Diffused or huge defect Wound leakage
Corneal edema In the operation time (epithelial) The day after surgery Localized incisional Suture tightness Endothelial damage Near the wound Wound burn
Central corneal edema Endothelial damage Cell slipping Cell death Deep stromal damage Decimates detachments Localized stripping Massive Diagnosis Differentiation with anterior capsul
Total corneal edema In the day after surgery Without hot symptoms
Pigment realizing from the iris Pupillary dilation Iris atrophy toxic keratopathy
Management Epithelial Dry eye Toxicity Exposure lid lag Entropion
Descemets detachment * In surgical plane * The day after surgery Descemets folding Descemets rolling
Total corneal edema Rollout endophthalmitis IOP Inflammation Cycloplegics Steroids
Astigmatism Suture Persistent
Corneal opacities Corneal scars
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