Fibres found in the eye during and after phacoemulsification cataract surgery.
OBJECTIVE
Fibres are regularly found within the delivery cartridge (DC) and in the anterior chamber (AC) during phacoemulsification cataract surgery (PCS) and postoperatively. The purpose of this study was to identify their frequency and possible significance.


METHODS
Dedicated ophthalmic day surgery.


METHODS
Prospective, consecutive, single-surgeon, cohort study.


METHODS
In 639 eyes undergoing PCS, the presence of fibres was documented in or on both the DC and in the AC intraoperatively, and in the AC postoperatively. The intraoperative method of fibre removal was documented. Corrected distance visual acuity (CDVA) was recorded preoperatively, and at day 1, week 1, and week 4 postoperatively. The incidence of clinical cystoid macular oedema (CMO) and endophthalmitis in the retained fibre subcohort was compared with that of the non-fibre subcohort.


RESULTS
A total of 5.2% of the operated eyes had a fibre or fibres in or on the DC, which in all cases was removed with forceps intraoperatively. A total of 14.6% of operated eyes had a fibre or fibres in the AC intraoperatively; these were removed by irrigation/aspiration. Postoperatively, five eyes (0.78%) had a fibre in the AC. There was no significant difference in postoperative CDVA between the fibre and non-fibre subcohorts (P=0.26), and no clinically significant CMO or endophthalmitis in either subcohort.


CONCLUSIONS
Most fibres seen on the DC or in the eye are sterile and non-inflammatory. However, there have been reports of endophthalmitis attributed to retained fibres. In this study, there were no complications attributable to the fibres, but their removal may minimise any adverse potential.
School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Z E
ZE
McPherson
Department of Ophthalmology, Prince of Wales Hospital, Sydney, New South Wales, Australia.
J
J
Jung-Yeon Ku
School of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
E
E
Chong
Ophthalmic Surgical Centre, Sydney, New South Wales, Australia.
S
S
Amjadi
Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
K E
KE
Francis
Department of Ophthalmology, Prince of Wales Hospital, Sydney, New South Wales, Australia.
J L
JL
Lauschke
School of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
A W
AW
Kam
1] Department of Ophthalmology, Prince of Wales Hospital, Sydney, New South Wales, Australia [2] School of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
H
H
Tsang
1] Department of Ophthalmology, Prince of Wales Hospital, Sydney, New South Wales, Australia [2] School of Medicine, University of New South Wales, Sydney, New South Wales, Australia [3] Ophthalmic Surgical Centre, Sydney, New South Wales, Australia.
I C
IC
Francis
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology*; D015331:Cohort Studies; D009877:Endophthalmitis / Q000453:epidemiology; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000295:instrumentation; D008269:Macular Edema / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011446:Prospective Studies; D014792:Visual Acuity