title: High-speed cannula detachment into the eye during hydrodissection.
abstract: Detachment of a hydrodissection cannula during a phacoemulsification procedure appeared to produce no adverse sequelae during surgery. Day 1 postoperatively, two nonpenetrating hemorrhagic retinal lesions were identified; there was no evidence of posterior capsular perforation. Day 6 postoperatively, the pupil was temporally peaked by a fine vitreous strand running to the main-port incision in the superotemporal cornea. This was divided with Nd:YAG laser, and argon laser was applied to encircle the two retinal lesions. Postoperative uncorrected visual acuity remained 6/4 at day 1, day 6, and week 4 (3 weeks after laser application) follow-up visits. Surgeons must accept responsibility for confirming the integrity of the cannula and syringe connection before beginning hydrodissection, which can be highly destructive to intracameral structures.
authors: Zachary E
authors: ZE
authors: McPherson
authors: Oliver C F
authors: OC
authors: Lau
authors: Tony S
authors: TS
authors: Chen
authors: Andrew W
authors: AW
authors: Kam
authors: Shahriar
authors: S
authors: Amjadi
authors: Michael G
authors: MG
authors: Zhang
authors: T Justin
authors: TJ
authors: Playfair
authors: Ashish
authors: A
authors: Agar
authors: Ian C
authors: IC
authors: Francis
mesh_terms: D000368:Aged; D000758:Anesthesia / Q000379:methods; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D004868:Equipment Failure; D005129:Eye Foreign Bodies / Q000209:etiology*; D005131:Eye Injuries / Q000209:etiology*; D006801:Humans; D008297:Male; D018918:Phacoemulsification / Q000295:instrumentation*; D012166:Retinal Hemorrhage / Q000209:etiology*