Zonular dialysis and vitreous loss with a J-shaped hydrodissection cannula during phacoemulsification.
We report a complication that occurred during clear corneal phacoemulsification. When saline was injected during hydrodissection with a 27-gauge J-shaped cannula attached to a 2.0 mL luer-lock polypropylene syringe, the cannula dislodged and slipped behind the iris, hooking to the lens equator. Although the cannula was carefully removed, 3 clock hours of zonular dialysis were observed between the 4 o'clock and 7 o'clock meridians. After phacoemulsification, lens aspiration, and in-the-bag intraocular lens implantation, vitreous was noted inferiorly and the anterior vitrectomy was completed.
Munshi
Vineeta
V
University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
Sampat
Venkatadri
V
Pagliarini
Sergio
S
D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000009:adverse effects*; D005128:Eye Diseases / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008022:Ligaments / Q000293:injuries* / Q000473:pathology; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects*; D014822:Vitreous Body / Q000473:pathology*