Scleral perforation during cataract surgery.
Two cases are described of scleral perforation due to the needle of the bridle suture done before cataract extraction in 1,280 consecutive cases. The immediate diagnosis is important and is based on acute hypotony of the globe, the appearance of vitreous fluid under the conjunctiva, or both. Cryopexy with scleral buckling followed immediately by the usual cataract extraction is recommended. This procedure allows judgment of the actual state and avoids a second operation.
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D003452:Cryosurgery; D005260:Female; D006801:Humans; D012590:Sclera / Q000293:injuries*; D012591:Scleral Buckling; D013536:Suture Techniques