Descemet′s tear due to injector cartridge tip deformity

Abstract

Foldable intraocular lens (IOL) implantation using an injector system through 2.8-mm clear corneal incision following phacoemulsification provides excellent speedy postoperative recovery. In our reported case, a Sensar AR40e IOL (Abbott Medical Optics, USA) was loaded into Emerald C cartridge, outside the view of the operating microscope, by the first assistant. The surgeon proceeded with the IOL injection through a 2.8-mm clear corneal incision after uneventful phacoemulsification, immediately following which he noted a Descemet′s tear with a rolled out flap of about 2 mm near the incision site. Gross downward beaking of the bevelled anterior end of the cartridge was subsequently noticed upon examination under the microscope. We suggest careful preoperative microscopic inspection of all instruments and devices entering the patient′s eyes to ensure maximum safety to the patient.

Keywords

• Plateau iris
• primary angle closure glaucoma
• prevalence
• Enucleation
• India
• indications
• trends
• Closure glaucoma
• primary angle
• scanning electron microscopy
• trabecular
• Apoptosis
• caspase-3/7
• cigarette smoke toxicant
• hydroquinone
• Blepharophimosis
• cosmetic
• functional
• single stage
• Refractive error
• rural area
• school children
• use of spectacles
• Bietti′s crystalline dystrophy
• choroidal neovascular membrane
• ranibizumab
• Blepharoptosis
• epidermal cyst
• excision
• eyelid
• AcrySof SN60T9
• cataract
• phacoemulsification
• post-keratoplasty astigmatism
• toric intraocular lens
• Magnetic resonance imaging
• optic neuritis
• sphenoid sinus mucocele
• visual evoked response
• Cartridge tip
• descemet′s tear
• intraocular Lens
• phacoemulsification