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Published byRonaldo Wiggans Modified over 10 years ago
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Corneal complication of phacoemulsification
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Historical cataract surgery lens dislocation Extracapsular cataract extraction Intracapsular cataract extraction Extracapsular cataract extraction
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Intraocular lens implantation Phacoemulsification Foldable lenses
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Small incision Multifocal lenses Accommodative lenses MIC
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Pachymetry Cell counting Ambulating surgery
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Shorter the time Faster rehabilitation Better visual acuity Far Near
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Phacoemulsification = less complication
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Complications Epithelial Traumatic Drags and antiseptics
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Incisional Irregular incisional Clear corneal problems Corneal folding Descemets trauma
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Stromal dissection Scars Astigmatisem Woumd burn Suture problems
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Knifes 1.5 mm, 3.2 mm Shape Sharpness Material
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Incision sight Superior Temporal Oblique Incision shape One plane Two planes Tree planes
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Irrigation (A.C forming) Stromal hydration Descemets trauma Endothelial trauma
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Capsulorehexis Needle Forceps
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Hydrodisection Descemets trauma Endothelial trauma
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Phaco prop Epithelial Stroma Descemets Endothelial
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Fluidic irrigation Severity Time Direction
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Phaco Machine Needle Percent Time Continuous pals Endothelial distance In the bag In the papillary plane In the A.C
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Direct trauma to the endothelium Chopper Phaco needle
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Infection Bacteria wound infection Fungal wound infection Herpetic keratitis
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Strile ulcerations and stromal melting Rheumatoid arthritis Collagen vascular disease Keratoconjunctivitis sicca
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Symptoms and signs Epithelial defect Punctuate Localized Diffused or huge defect Wound leakage
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Corneal edema In the operation time (epithelial) The day after surgery Localized incisional Suture tightness Endothelial damage Near the wound Wound burn
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Central corneal edema Endothelial damage Cell slipping Cell death Deep stromal damage Decimates detachments Localized stripping Massive Diagnosis Differentiation with anterior capsul
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Total corneal edema In the day after surgery Without hot symptoms
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Pigment realizing from the iris Pupillary dilation Iris atrophy toxic keratopathy
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Management Epithelial Dry eye Toxicity Exposure lid lag Entropion
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Suture tightness
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Descemets detachment * In surgical plane * The day after surgery Descemets folding Descemets rolling
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Total corneal edema Rollout endophthalmitis IOP Inflammation Cycloplegics Steroids
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Astigmatism Suture Persistent
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Corneal opacities Corneal scars
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Grafting procedures
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