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BRIEF COMMUNICATION
Year : 2012  |  Volume : 60  |  Issue : 3  |  Page : 218-220

Descemet's tear due to injector cartridge tip deformity


1 B B Eye Foundation, 2/5, Sarat Bose Road, Kolkata, India
2 Elite School of Optometry, Chennai, Tamil Nadu, India

Correspondence Address:
Partha Biswas
Cluster 7, House Number 4, Purbachal, Salt Lake, Kolkata - 700 097
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.95877

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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.


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