title: Intraoperative fracture of phacoemulsification tip.
abstract: Phacoemulsification (phaco) is an established procedure for cataract extraction and has undergone a significant advances in techniques, machines and phaco tips. The Aspiration Bypass System (ABS) phaco tip was introduced for phacoemulsification in 1998. The ABS tip allows fluid to be drawn through the opening when the phaco tip is occluded by nuclear material. The ABS tip allowed the safe use of high vacuum and flow rates and improved chamber stability by decreasing surge and therefore reducing intraoperative complications. To date, no disadvantages of ABS tips have been reported. We report a unique case of an intraoperative break of an ABS phaco tip during routine cataract surgery.
authors.affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Dewang
authors.initials: D
authors.lastname: Angmo
authors.affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sudarshan K
authors.initials: SK
authors.lastname: Khokhar
authors.affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anasua
authors.initials: A
authors.lastname: Ganguly
mesh_terms: D004868:Equipment Failure; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008854:Microscopy, Electron; D008875:Middle Aged; D018918:Phacoemulsification / Q000295:instrumentation* / Q000379:methods; D014025:Titanium
chemical_list: D014025:Titanium
keywords: Abs Tip; Instrument Breakage During Phacoemulsification; Metallic Foreign Body Post Phacoemulsification Surgery; Phacoemulsification Tip Fracture; Surge