Journal of Cataract & Refractive Surgery
Volume 30, Issue 10 , Pages 2223-2224, October 2004

Traumatic expulsive iridodialysis after small-incision sutureless cataract surgery☆

  • Nathan J. Walker, MBBS(Hons)

      Affiliations

    • Corresponding Author InformationReprint requests to Dr. Nathan Walker, c/o Dr. Andrew Apel's rooms, Second floor, 113 Wickham Terrace, Brisbane Queensland 4000, Australia.
    • From The Townsville Hospital, Townsville, Australia
    • ,
  • Andrew Foster, FRANZCO

      Affiliations

    • From The Townsville Hospital, Townsville, Australia
    • ,
  • Andrew J.G. Apel, FRANZCO

      Affiliations

    • Princess Alexandra Hospital, Brisbane, Queensland, Australia

Accepted 2 March 2004.

Abstract 

Phacoemulsification with intraocular lens (IOL) implantation was performed in the right eye of an 84-year-old woman using a small clear corneal incision. Ten weeks after surgery, the patient fell, which caused traumatic iridodialysis and hyphema with expulsion of the iris through the surgical corneal incision. Apart from a transient rise in intraocular pressure, no other complication was identified and the visual acuity returned to 20/20 within 2 months. The IOL remained in situ and undisturbed in the capsular bag, and the retina remained flat, suggesting that an IOL in the capsular bag may provide a stable barrier to prevent tissue loss from the posterior segment.

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☆ None of the authors has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(04)00414-6

doi:10.1016/j.jcrs.2004.03.040

Journal of Cataract & Refractive Surgery
Volume 30, Issue 10 , Pages 2223-2224, October 2004

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