超声乳化吸头断裂及其处理方法
"Phacoemulsification tip fracture and how to manage it.".
作者信息
Georges Sukkarieh, Amine Al Soueidy, Riad Bejjani, Elias Chelala
机构信息
Ophthalmology Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
出版信息
Am J Ophthalmol Case Rep. 2021 Mar 5;22:101051. doi: 10.1016/j.ajoc.2021.101051. eCollection 2021 Jun.
PURPOSE
To describe a rare complication of phacoemulsification (Phaco) cataract extraction.
OBSERVATIONS
A phaco tip fracture occurred during the sculpting of the nucleus in a cataract extraction surgery of a 60-year-old woman. The surgeon introduced the second instrument through the side port to retrieve the broken portion of the tip while maintaining it inside the sleeve.
CONCLUSIONS AND IMPROTANCE
Phaco tip fracture is a rare but serious complication that all cataract surgeons should be able to manage safely. Main risk factors for phaco tip fractures are: Aspiration Bypass System (ABS) phaco tip design and sterilization and reuse of instruments. A step by step plan of action was described in detail for a surgeon to manage a phaco tip fracture which mainly consists of removing the fractured phaco tip while it is still inside the sleeve to prevent any touch between the sharp broken edge of the tip and any intraocular component.
目的
描述白内障超声乳化吸除术一种罕见的并发症。
观察结果
在一名60岁女性白内障摘除手术的核雕刻过程中，超声乳化针头发生断裂。外科医生通过侧切口插入第二器械，在将断裂的针头部分保持在套管内的同时将其取出。
结论与重要性
超声乳化针头断裂是一种罕见但严重的并发症，所有白内障外科医生都应能够安全处理。超声乳化针头断裂的主要危险因素是：抽吸旁路系统（ABS）超声乳化针头设计以及器械的消毒和重复使用。详细描述了外科医生处理超声乳化针头断裂的一步步行动计划，主要包括在断裂的超声乳化针头仍在套管内时将其取出，以防止针头尖锐的断裂边缘与任何眼内组件接触。
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