Abstract

BackgroundWe describe a case of intraoperative fracture of phacoemulsification sleeve during phacoemulsification surgery.Case presentationPhacoemulsification surgery was performed in the left eye of a 58-year-old lady with grade II nuclear sclerosis & grade I cortical cataract. Towards the end of quadrant removal, there was anterior chamber instability with impaired followability of nuclear fragments. The distal part of the fractured sleeve remained inside the anterior chamber upon removal of the phacoemulsification probe. The retained sleeve was retrieved with a pair of forceps through the corneal incision site, which did not require widening. There was no missing fragments retained intraocularly and the patient had an uneventful recovery with vision of 20/25 at three months post-operatively.ConclusionPhacoemulsification sleeve fracture is an uncommon complication. With early identification of this condition and proper management, major complications can be avoided.

Highlights

  • We describe a case of intraoperative fracture of phacoemulsification sleeve during phacoemulsification surgery.Case presentation: Phacoemulsification surgery was performed in the left eye of a 58-year-old lady with grade II nuclear sclerosis & grade I cortical cataract

  • We hereby report a case of intraoperative phacoemulsification sleeve fracture

  • Case presentation A 58-year-old lady was clinically admitted for phacoemulsification surgery and intraocular lens (IOL) implantation in the left eye

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Summary

Introduction

We describe a case of intraoperative fracture of phacoemulsification sleeve during phacoemulsification surgery.Case presentation: Phacoemulsification surgery was performed in the left eye of a 58-year-old lady with grade II nuclear sclerosis & grade I cortical cataract. Background Instruments breakage during phacoemulsification surgeries can have detrimental effect on the eye. Intraoperative fracture of phacoemulsification sleeve occurs infrequently. We hereby report a case of intraoperative phacoemulsification sleeve fracture. Case presentation A 58-year-old lady was clinically admitted for phacoemulsification surgery and intraocular lens (IOL) implantation in the left eye.

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