High-speed cannula detachment into the eye during hydrodissection

Date

2014

Authors

McPherson, Z.E.
Lau, O.C.
Chen, T.S.
Kam, A.W.
Amjadi, S.
Zhang, M.G.
Playfair, T.J.
Agar, A.
Francis, I.C.

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Ophthalmic Surgery, Lasers and Imaging, 2014; 45(4):347-349

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Zachary E. McPherson, Oliver C.F. Lau, Tony S. Chen, Andrew W. Kam, Shahriar Amjadi, Michael G. Zhang, T. Justin Playfair,Ashish Agar, Ian C. Francis

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Abstract

Detachment of a hydrodissection cannula during a phacoemulsification procedure appeared to produce no adverse sequelae during surgery. Day 1 postoperatively, two nonpenetrating hemorrhagic retinal lesions were identified; there was no evidence of posterior capsular perforation. Day 6 postoperatively, the pupil was temporally peaked by a fine vitreous strand running to the main-port incision in the superotemporal cornea. This was divided with Nd:YAG laser, and argon laser was applied to encircle the two retinal lesions. Postoperative uncorrected visual acuity remained 6/4 at day 1, day 6, and week 4 (3 weeks after laser application) follow-up visits. Surgeons must accept responsibility for confirming the integrity of the cannula and syringe connection before beginning hydrodissection, which can be highly destructive to intracameral structures.

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