Corneal complication of phacoemulsification Historical cataract surgery lens dislocation...

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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

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