Traumatic expulsive iridodialysis after small-incision sutureless cataract surgery.
Phacoemulsification with intraocular lens (IOL) implantation was performed in the right eye of an 84-year-old woman using a small clear corneal incision. Ten weeks after surgery, the patient fell, which caused traumatic iridodialysis and hyphema with expulsion of the iris through the surgical corneal incision. Apart from a transient rise in intraocular pressure, no other complication was identified and the visual acuity returned to 20/20 within 2 months. The IOL remained in situ and undisturbed in the capsular bag, and the retina remained flat, suggesting that an IOL in the capsular bag may provide a stable barrier to prevent tissue loss from the posterior segment.
The Townsville Hospital, Townsville, Australia. nathanwalker@ausdoctors.net
Nathan J
NJ
Walker
Andrew
A
Foster
Andrew J G
AJ
Apel
D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D003315:Cornea / Q000601:surgery; D065306:Corneal Injuries; D005260:Female; D006801:Humans; D006988:Hyphema / Q000209:etiology; D007498:Iris / Q000293:injuries*; D019654:Lens Implantation, Intraocular; D019060:Minimally Invasive Surgical Procedures; D018918:Phacoemulsification; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000209:etiology*