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Zonular dialysis and vitreous loss with a J-shaped hydrodissection cannula during phacoemulsification

2005; Lippincott Williams & Wilkins; Volume: 31; Issue: 2 Linguagem: Inglês

10.1016/j.jcrs.2004.06.043

1873-4502

Vineeta Munshi, V. Sampat, Sergio Pagliarini,

Glaucoma and retinal disorders

We report a complication that occurred during clear corneal phacoemulsification. When saline was injected during hydrodissection with a 27-gauge J-shaped cannula attached to a 2.0 mL luer-lock polypropylene syringe, the cannula dislodged and slipped behind the iris, hooking to the lens equator. Although the cannula was carefully removed, 3 clock hours of zonular dialysis were observed between the 4 o'clock and 7 o'clock meridians. After phacoemulsification, lens aspiration, and in-the-bag intraocular lens implantation, vitreous was noted inferiorly and the anterior vitrectomy was completed.