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Corneal complication of phacoemulsification Historical cataract surgery lens dislocation Extracapsular cataract extraction Intracapsular cataract extraction.

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Presentation on theme: "Corneal complication of phacoemulsification Historical cataract surgery lens dislocation Extracapsular cataract extraction Intracapsular cataract extraction."— Presentation transcript:

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2 Corneal complication of phacoemulsification

3 Historical cataract surgery lens dislocation Extracapsular cataract extraction Intracapsular cataract extraction Extracapsular cataract extraction

4 Intraocular lens implantation Phacoemulsification Foldable lenses

5 Small incision Multifocal lenses Accommodative lenses MIC

6 Pachymetry Cell counting Ambulating surgery

7 Shorter the time Faster rehabilitation Better visual acuity Far Near

8 Phacoemulsification = less complication

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10 Complications Epithelial Traumatic Drags and antiseptics

11 Incisional Irregular incisional Clear corneal problems Corneal folding Descemets trauma

12 Stromal dissection Scars Astigmatisem Woumd burn Suture problems

13 Knifes 1.5 mm, 3.2 mm Shape Sharpness Material

14 Incision sight Superior Temporal Oblique Incision shape One plane Two planes Tree planes

15 Irrigation (A.C forming) Stromal hydration Descemets trauma Endothelial trauma

16 Capsulorehexis Needle Forceps

17 Hydrodisection Descemets trauma Endothelial trauma

18 Phaco prop Epithelial Stroma Descemets Endothelial

19 Fluidic irrigation Severity Time Direction

20 Phaco Machine Needle Percent Time Continuous pals Endothelial distance In the bag In the papillary plane In the A.C

21 Direct trauma to the endothelium Chopper Phaco needle

22 Infection Bacteria wound infection Fungal wound infection Herpetic keratitis

23 Strile ulcerations and stromal melting Rheumatoid arthritis Collagen vascular disease Keratoconjunctivitis sicca

24 Symptoms and signs Epithelial defect Punctuate Localized Diffused or huge defect Wound leakage

25 Corneal edema In the operation time (epithelial) The day after surgery Localized incisional Suture tightness Endothelial damage Near the wound Wound burn

26 Central corneal edema Endothelial damage Cell slipping Cell death Deep stromal damage Decimates detachments Localized stripping Massive Diagnosis Differentiation with anterior capsul

27 Total corneal edema In the day after surgery Without hot symptoms

28 Pigment realizing from the iris Pupillary dilation Iris atrophy toxic keratopathy

29 Management Epithelial Dry eye Toxicity Exposure lid lag Entropion

30 Suture tightness

31 Descemets detachment * In surgical plane * The day after surgery Descemets folding Descemets rolling

32 Total corneal edema Rollout endophthalmitis IOP Inflammation Cycloplegics Steroids

33 Astigmatism Suture Persistent

34 Corneal opacities Corneal scars

35 Grafting procedures

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