University of Iowa Health Care

Ophthalmology and Visual Sciences

Wound Too Long

Thomas A. Oetting, MD

Using a coaxial phacoemulsification system we encounter a lot of corneal edema in this case from a wound that is too long and started a bit too anterior. At first the case goes alright with a reasonably centered rhexis (sometimes if the wound is too anterior or too long the rhexis will be shifted away from the wound and decentered). The problem comes after nucleofractis with hydration of the wound from the irrigation sleeve. Eventually the wound hydration results in enough edema to limit the view. The subincisional cortical material is difficult to get out. Bimanual irrigation and aspiration would have made this easier.


Additional Notes: length 2:04

last updated: 08-25-2009
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