Severe iridodialysis from phacoemulsification tip suction.
During cataract surgery, the iris of an 83-year-old woman was strongly sucked into the phacoemulsification tip twice, resulting in severe iridodialysis. The dehisced iris was sutured to the sclera using double-armed 10-0 polypropylene on a long curved needle. Intensive suction of the iris by the phacoemulsification tip can lead to severe iridodialysis. Machine setting parameters, particularly flow rate, should be lowered after the first iris suction to avoid further iris damage.
Oshika
T
T
Department of Ophthalmology, University of Tokyo School of Medicine, Japan.
Amano
S
S
Kato
S
S
D000368:Aged; D000369:Aged, 80 and over; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D007498:Iris / Q000293:injuries* / Q000601:surgery; D007499:Iris Diseases / Q000209:etiology* / Q000601:surgery; D018918:Phacoemulsification / Q000009:adverse effects*; D013396:Suction / Q000009:adverse effects*; D013536:Suture Techniques