Intraoperative fracture of phacoemulsification sleeve

[摘要] BackgroundWe describe a case of intraoperative fracture of phacoemulsification sleeve during phacoemulsification surgery.Case presentationPhacoemulsification surgery was performed in the left eye of a 58-year-old lady with grade II nuclear sclerosis & grade I cortical cataract. Towards the end of quadrant removal, there was anterior chamber instability with impaired followability of nuclear fragments. The distal part of the fractured sleeve remained inside the anterior chamber upon removal of the phacoemulsification probe. The retained sleeve was retrieved with a pair of forceps through the corneal incision site, which did not require widening. There was no missing fragments retained intraocularly and the patient had an uneventful recovery with vision of 20/25 at three months post-operatively.ConclusionPhacoemulsification sleeve fracture is an uncommon complication. With early identification of this condition and proper management, major complications can be avoided.

[发布日期] 2010-11-30

[关键词] Anterior Chamber;Balance Salt Solution;Posterior Capsule Opacification;Corneal Incision;Cortical Cataract