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Fracture of the phaco tip during Micro Incision Cataract Surgery

Fracture of the phaco tip during Micro Incision Cataract Surgery. Dr. Ramesh Dorairajan Dr. Geetha. P. Dr. Devi R. Sundar eye hospital. Chennai. India There is no financial interest in this presentation. Objective. To demonstrate an unique complication of micro incision cataract surgery

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Fracture of the phaco tip during Micro Incision Cataract Surgery

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  1. Fracture of the phaco tip during Micro Incision Cataract Surgery Dr. Ramesh Dorairajan Dr. Geetha. P. Dr. Devi R. Sundar eye hospital. Chennai. India There is no financial interest in this presentation

  2. Objective • To demonstrate an unique complication of micro incision cataract surgery • First case report of breakage of a 800 micron titanium tip during MICS

  3. MICS was performed for a hard nuclear cataract by the peripheral chop technique.An angled 800 micron titanium phaco tip was usedThe phaco tip fractured into two pieces inside the anterior chamber during the procedure

  4. Frame grab: Titanium tip fractures while separating the chopped fragments Broken tip

  5. Frame grab: Broken titanium tip in the anterior chamber

  6. The incision was enlarged to 2.8 mmThe tip was removed by the railroad technique.Uneventful standard phacoemulsification was performed

  7. Frame grab: Railroad technique to remove the distal tip Incision was enlarged to deliver the fragment 28 G needle inside the broken tip

  8. conclusion • Thin walled angled MICS tips may have to be used with caution in certain types of cataracts.

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