Corneal complication of phacoemulsification

Historical cataract surgerylens dislocationExtracapsular cataract extractionIntracapsular cataract extractionExtracapsular cataract extraction

Intraocular lens implantationPhacoemulsificationFoldable lenses

Small incisionMultifocal lensesAccommodative lensesMIC

PachymetryCell countingAmbulating surgery

Shorter the timeFaster rehabilitationBetter visual acuityFar Near

Phacoemulsification = less complication

Complications

Epithelial Traumatic Drags and antiseptics

Incisional Irregular incisionalClear corneal problemsCorneal folding Descemets trauma

Stromal dissectionScars AstigmatisemWoumd burnSuture problems

Knifes1.5 mm , 3.2 mmShapeSharpnessMaterial

Incision sightSuperiorTemporal ObliqueIncision shapeOne planeTwo planesTree planes

Irrigation (A.C forming)Stromal hydrationDescemets traumaEndothelial trauma

CapsulorehexisNeedleForceps

HydrodisectionDescemets traumaEndothelial trauma

Phaco propEpithelialStromaDescemets Endothelial

Fluidic irrigationSeverityTime Direction

Phaco MachineNeedlePercentTimeContinuous pals Endothelial distanceIn the bagIn the papillary planeIn the A.C

Direct trauma to the endotheliumChopperPhaco needle

Infection

Bacteria wound infectionFungal wound infection Herpetic keratitis

Strile ulcerations and stromal meltingRheumatoid arthritisCollagen vascular diseaseKeratoconjunctivitis sicca

Symptoms and signs Epithelial defectPunctuate Localized Diffused or huge defectWound leakage

Corneal edema

In the operation time (epithelial)The day after surgeryLocalized incisionalSuture tightnessEndothelial damageNear the wound Wound burn

Central corneal edemaEndothelial damage Cell slippingCell death Deep stromal damageDecimates detachmentsLocalized strippingMassive DiagnosisDifferentiation with anterior capsul

Total corneal edemaIn the day after surgery Without hot symptoms

Pigment realizing from the irisPupillary dilationIris atrophy toxic keratopathy

ManagementEpithelial Dry eyeToxicity Exposure lid lagEntropion

Suture tightness

Descemets detachment * In surgical plane * The day after surgeryDescemets foldingDescemets rolling

Total corneal edemaRollout endophthalmitisIOPInflammationCycloplegicsSteroids

Astigmatism SuturePersistent

Corneal opacitiesCorneal scars

Grafting procedures