corneal complication of phacoemulsification
Post on 22-Feb-2016
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Corneal complication of phacoemulsification
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Historical cataract surgerylens dislocationExtracapsular cataract extractionIntracapsular cataract extractionExtracapsular cataract extraction
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Intraocular lens implantationPhacoemulsificationFoldable lenses
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Small incisionMultifocal lensesAccommodative lensesMIC
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PachymetryCell countingAmbulating surgery
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Shorter the timeFaster rehabilitationBetter visual acuityFar Near
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Phacoemulsification = less complication
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Complications
Epithelial Traumatic Drags and antiseptics
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Incisional Irregular incisionalClear corneal problemsCorneal folding Descemets trauma
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Stromal dissectionScars AstigmatisemWoumd burnSuture problems
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Knifes1.5 mm , 3.2 mmShapeSharpnessMaterial
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Incision sightSuperiorTemporal ObliqueIncision shapeOne planeTwo planesTree planes
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Irrigation (A.C forming)Stromal hydrationDescemets traumaEndothelial trauma
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CapsulorehexisNeedleForceps
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HydrodisectionDescemets traumaEndothelial trauma
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Phaco propEpithelialStromaDescemets Endothelial
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Fluidic irrigationSeverityTime Direction
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Phaco MachineNeedlePercentTimeContinuous pals Endothelial distanceIn the bagIn the papillary planeIn the A.C
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Direct trauma to the endotheliumChopperPhaco needle
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Infection
Bacteria wound infectionFungal wound infection Herpetic keratitis
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Strile ulcerations and stromal meltingRheumatoid arthritisCollagen vascular diseaseKeratoconjunctivitis sicca
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Symptoms and signs Epithelial defectPunctuate Localized Diffused or huge defectWound leakage
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Corneal edema
In the operation time (epithelial)The day after surgeryLocalized incisionalSuture tightnessEndothelial damageNear the wound Wound burn
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Central corneal edemaEndothelial damage Cell slippingCell death Deep stromal damageDecimates detachmentsLocalized strippingMassive DiagnosisDifferentiation with anterior capsul
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Total corneal edemaIn the day after surgery Without hot symptoms
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Pigment realizing from the irisPupillary dilationIris atrophy toxic keratopathy
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ManagementEpithelial Dry eyeToxicity Exposure lid lagEntropion
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Suture tightness
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Descemets detachment * In surgical plane * The day after surgeryDescemets foldingDescemets rolling
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Total corneal edemaRollout endophthalmitisIOPInflammationCycloplegicsSteroids
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Astigmatism SuturePersistent
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Corneal opacitiesCorneal scars
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Grafting procedures
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