Management of cataract caused by inadvertent capsule penetration during intravitreal injection of ranibizumab.
We describe an approach to phacoemulsification of complicated cataract with preexisting posterior capsule tear caused by an intravitreal injection. Careful preoperative planning and attention to fluidics, low bottle height, appropriate incisions, careful hydrodelineation without hydrodissection, avoidance of nuclear rotation, and use of a dispersive ophthalmic viscosurgical device to tamponade vitreous allows safe phacoemulsification with secure posterior chamber intraocular lens implantation. Biaxial microincision cataract surgery can achieve efficient removal of the lens matter without rotating the nucleus, reducing the chance of capsule tear extension and loss of nuclear fragments into the posterior pole.
Saeed
Muhammad Usman
MU
Department of Ophthalmology, Arrowe Park Hospital, Wirral, United Kingdom. musmansaeed@aol.com
Prasad
Som
S
D000368:Aged; D000369:Aged, 80 and over; D000911:Antibodies, Monoclonal / Q000008:administration & dosage*; D061067:Antibodies, Monoclonal, Humanized; D002386:Cataract / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D019654:Lens Implantation, Intraocular / Q000379:methods; D008297:Male; D016602:Needlestick Injuries / Q000150:complications*; D018918:Phacoemulsification / Q000379:methods*; D000069579:Ranibizumab; D014792:Visual Acuity; D014822:Vitreous Body; D057135:Wet Macular Degeneration / Q000188:drug therapy
D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D000069579:Ranibizumab