title: Descemet's tear due to injector cartridge tip deformity.
abstract: Foldable intraocular lens (IOL) implantation using an injector system through 2.8-mm clear corneal incision following phacoemulsification provides excellent speedy postoperative recovery. In our reported case, a Sensar AR40e IOL (Abbott Medical Optics, USA) was loaded into Emerald C cartridge, outside the view of the operating microscope, by the first assistant. The surgeon proceeded with the IOL injection through a 2.8-mm clear corneal incision after uneventful phacoemulsification, immediately following which he noted a Descemet's tear with a rolled out flap of about 2 mm near the incision site. Gross downward beaking of the bevelled anterior end of the cartridge was subsequently noticed upon examination under the microscope. We suggest careful preoperative microscopic inspection of all instruments and devices entering the patient's eyes to ensure maximum safety to the patient.
authors.affiliation: B B Eye Foundation, 2/5, Sarat Bose Road, Kolkata, India.
authors.forename: Partha
authors.initials: P
authors.lastname: Biswas
authors.forename: Subhrangshu
authors.initials: S
authors.lastname: Sengupta
authors.forename: Ajoy
authors.initials: A
authors.lastname: Paul
authors.forename: Lav
authors.initials: L
authors.lastname: Kochgaway
authors.forename: Sayantan
authors.initials: S
authors.lastname: Biswas
mesh_terms: D002356:Cartilage; D003886:Descemet Membrane / Q000293:injuries*; D004868:Equipment Failure; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects / Q000295:instrumentation; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000009:adverse effects* / Q000295:instrumentation; D008875:Middle Aged; D012421:Rupture