Phacoemulsification Wound Burn and Its Management

Abstract: Introduction: The production of ultrasonic energy during phacoemulsification is associated with heat generation that could damage ocular tissues, particularly at the corneoscleral wound site. Case Presentation: This study presents an 89-year-old patient with senile hypermature cataract and Fuchs endothelial dystrophy developing severe thermal corneoscleral injury during phacoemulsification. At presentation, visual acuity was finger count at 40 cm and there was a 1 × 2-mm area of corneal melting at the corneal tunnel with diffuse corneal oedema. After 1 month, a temporal circular corneal patch graft was applied to the corneal burn. A penetrating keratoplasty was performed 16 months after the first surgery. Conclusion: Corneal surgery, including lamellar patch grafts and full-thickness penetrating grafts, could be used, when necessary, to restore the cornea’s integrity. These procedures could eliminate corneal scarring, decrease astigmatism, and improve vision in patients with phacoemulsification burns.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Phacoemulsification Wound Burn and Its Management ; volume:15 ; number:1 ; year:2024 ; pages:303-309 ; extent:7 ; Case reports in ophthalmology ; 15, Heft 1 (2024), 303-309 (gesamt 7)

Contributors, Places and Time

• Creator: Giglio, Rosa ; Vinciguerra, Alex Lucia ; Inferrera, Leandro ; Tognetto, Daniele

Further information

• DOI: 10.1159/000537741
• URN: urn:nbn:de:101:1-2406270039281.290337348771
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 10:45 AM CEST