corneal complication of phacoemulsification historical cataract surgery lens dislocation...
TRANSCRIPT
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Corneal complication of phacoemulsification
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Historical cataract surgery
lens dislocation
Extracapsular cataract extraction
Intracapsular cataract extraction
Extracapsular cataract extraction
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Intraocular lens implantation
Phacoemulsification
Foldable lenses
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Small incision
Multifocal lenses
Accommodative lenses
MIC
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Pachymetry
Cell counting
Ambulating surgery
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Shorter the time
Faster rehabilitation
Better visual acuity
Far Near
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Phacoemulsification = less complication
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Complications
Epithelial Traumatic
Drags and antiseptics
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Incisional Irregular incisional
Clear corneal problems
Corneal folding
Descemets trauma
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Stromal dissection
Scars
Astigmatisem
Woumd burn
Suture problems
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Knifes1.5 mm , 3.2 mmShapeSharpnessMaterial
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Incision sightSuperiorTemporal ObliqueIncision shapeOne planeTwo planesTree planes
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Irrigation (A.C forming)Stromal hydration
Descemets trauma
Endothelial trauma
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CapsulorehexisNeedle
Forceps
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HydrodisectionDescemets trauma
Endothelial trauma
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Phaco propEpithelial
Stroma
Descemets
Endothelial
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Fluidic irrigationSeverity
Time
Direction
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Phaco MachineNeedlePercentTimeContinuous pals Endothelial distanceIn the bagIn the papillary planeIn the A.C
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Direct trauma to the endothelium
Chopper
Phaco needle
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Infection
Bacteria wound infection
Fungal wound infection
Herpetic keratitis
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Strile ulcerations and stromal melting
Rheumatoid arthritis
Collagen vascular disease
Keratoconjunctivitis sicca
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Symptoms and signs
Epithelial defect
Punctuate
Localized
Diffused or huge defect
Wound leakage
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Corneal edema
In the operation time (epithelial)The day after surgeryLocalized incisionalSuture tightnessEndothelial damageNear the wound Wound burn
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Central corneal edemaEndothelial damage Cell slippingCell death Deep stromal damageDecimates detachmentsLocalized strippingMassive DiagnosisDifferentiation with anterior capsul
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Total corneal edema
In the day after surgery
Without hot symptoms
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Pigment realizing from the iris
Pupillary dilation
Iris atrophy
toxic keratopathy
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Management
Epithelial
Dry eye
Toxicity
Exposure lid lag
Entropion
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Suture tightness
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Descemets detachment
* In surgical plane
* The day after surgery
Descemets folding
Descemets rolling
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Total corneal edema
Rollout endophthalmitis
IOP
Inflammation
Cycloplegics
Steroids
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Astigmatism Suture
Persistent
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Corneal opacities
Corneal scars
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Grafting procedures
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