TY - JOUR A1 - Biswas, Partha A1 - Sengupta, Subhrangshu A1 - Paul, Ajoy A1 - Kochgaway, Lav A1 - Biswas, Sayantan T1 - Descemet's tear due to injector cartridge tip deformity Y1 - 2012/5/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 218 EP - 220 VL - 60 IS - 3 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2012;volume=60;issue=3;spage=218;epage=220;aulast=Biswas DO - 10.4103/0301-4738.95877 N2 - 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. ER -