Electron microscopy of silicone irrigation/aspiration tips involved in posterior capsule rupture

被引：3

作者：

Hart, John C., Jr. ^{[1
,2
]}

Tanner, Michael ^{[3
]}

Rooney, David M. ^{[1
,2
]}

机构：

[1] Oakland Univ, William Beaumont Hosp, Dept Ophthalmol, Royal Oak, MI USA

[2] William Beaumont Sch Med, Royal Oak, MI USA

[3] William Beaumont Hosp, Dept Clin Engn, Royal Oak, MI 48072 USA

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2018年 / 44卷 / 12期

关键词：

D O I：

10.1016/j.jcrs.2018.07.046

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We describe 2 cases of posterior capsule rupture caused by Alcon reusable silicone irrigation/aspiration (I/A) tips. Scanning electron microscopy and reflected light microscopy of these tips revealed burring of the inner metallic shafts and tears in the silicone sleeves. A review of surgical video revealed that posterior capsule ruptures caused by the I/A tips occurred when the posterior capsule was aspirated ether through the aspiration port or through a tear in the silicone sleeve. Contact of the posterior capsule with the sharp metallic burrs on the inner metal tube can result in posterior capsule rupture. (C) 2018 ASCRS and ESCRS

引用

页码：1517 / 1520

页数：4

共 11 条

[1] Novel internal analysis of metal irrigation/aspiration tips could explain mechanisms of posterior capsule rupture
David Lockington
Alice Macente
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Eye, 2021, 35 : 1915 - 1921
[2] Novel internal analysis of metal irrigation/aspiration tips could explain mechanisms of posterior capsule rupture
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Macente, Alice
Marrocco, Tiziana
Sillars, Fiona
EYE, 2021, 35 (07) : 1915 - 1921
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[6] Transmission electron microscopy of the rabbit posterior capsule irrigated with thapsigargin and 5-fluorouracil in a sealed-capsule irrigation device
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I Lindell
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Eye, 2009, 23 : 975 - 978
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Smith, GT
Coombes, AGA
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[8] Reduced posterior capsular rupture rate observed among trainee surgeons utilizing a disposable silicone-tipped irrigation and aspiration handpiece for soft lens removal
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EXPERT REVIEW OF OPHTHALMOLOGY, 2018, 13 (05) : 293 - 297
[9] Incidence of posterior capsule tears in bimanual vs single-piece irrigation and aspiration during cataract surgery
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CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2019, 47 (06): : 815 - 816
[10] A long-term follow-up study of different irrigation/aspiration techniques on formation of posterior capsule opacification
Ozdemir, Havva G.
CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, 2007, 42 (06): : 849 - 851

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