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
Knifes1.5 mm , 3.2 mmShapeSharpnessMaterial
Incision sightSuperiorTemporal ObliqueIncision shapeOne planeTwo planesTree planes
Irrigation (A.C forming)Stromal hydration
Descemets trauma
Endothelial trauma
CapsulorehexisNeedle
Forceps
HydrodisectionDescemets trauma
Endothelial trauma
Phaco propEpithelial
Stroma
Descemets
Endothelial
Fluidic irrigationSeverity
Time
Direction
Phaco MachineNeedlePercentTimeContinuous pals Endothelial distanceIn the bagIn the papillary planeIn 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 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 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
Suture tightness
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
Grafting procedures
