Clear corneal paracentesis: A case of chronic wound leakage in a patient having bimanual phacoemulsification

Abstract

endophthalmitis. Ophthalmology 1991; 98:639-649; discussion, 650 5. Bannerman TL, Rhoden DL, McAllister SK, et al. The source of coagulase-negative staphylococci in the Endophthalmitis Vitrectomy Study; a comparison of eyelid and intraocular isolates using pulsed-field gel electrophoresis.

Clinical Results and Higher-Order Aberrations after 1.4-mm Biaxial Cataract Surgery and Implantation of a New Aspheric Intraocular Lens

“…Some studies found that the degree of induced astigmatism after bimanual MICS is equal to or even less than that of conventional coaxial small incision cataract surgery [4,7,19,23] and that the tissue damage from bimanual MICS is comparable to that from small incision cataract surgery [19,[23][24][25][26][27] . However, there are some disadvantages to B-MICS including wound damage, difficulties in mastering the technique, leakage due to thermal burn and the need for wound enlargement for IOL implantation [2,5,10,28,29] . C-MICS does not have the above-mentioned disadvantages and can therefore be easily and safely performed by most surgeons [28,[30][31][32] .…”

Postoperative corneal shape changes: Microincision versus small-incision coaxial cataract surgery

“…It has been shown that surgically induced astigmatism (SIA) and corneal aberrations after bimanual MICS, are slight. [19][20][21][22] However, there are major disadvantages to bimanual MICS, including difficulty learning the surgical technique, 23,24 the possibility of wound leakage, 23,24 and subsequent endophthalmitis 25 due to thermal burn. 26 Furthermore, it is often necessary to enlarge the wound to approximately 2.0 mm for IOL insertion because IOLs that can be inserted through a sub-2.0 mm incision are still evolving.…”

Intraoperative performance and postoperative outcomes of microcoaxial phacoemulsification

“…5 The short-length and single-plane incisions of bimanual microincision surgery have been cited as a cause of endophthalmitis 20 and persistent wound leak. 21 Microcoaxial phacoemulsification requires an incision of less than or equal to 2.2 mm and accommodates a sleeve over the tip. This allows aspiration and irrigation through the same incision coaxially and allows implantation of an IOL without enlarging the incision.…”