Document Detail

The clear corneal tongue: a mechanism for wound incompetence after phacoemulsification.
MedLine Citation:
PMID:  17317406     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe a mechanism for wound incompetence after phacoemulsification with corneal incisions resulting in early postoperative wound leakage. DESIGN: Observational case series. METHODS: Three patients who had uneventful phacoemulsification through a clear corneal incision were identified because of a postoperative wound leak. A corneal tongue, consisting of an everted triangular flap of posterior corneal stroma, the Descemet membrane, and endothelium, was observed in the wounds of all cases. RESULTS: One wound leak resolved after pressure patching. The other two necessitated wound revisions. None of the patients developed endophthalmitis. CONCLUSIONS: In phacoemulsification with corneal incisions, an everted flap of posterior corneal tissue, a corneal tongue, may prevent normal anatomical apposition of the surgical wound edges leading to potential wound incompetence. This event may increase the risk of endophthalmitis after clear corneal phacoemulsification.
Diamond Y Tam; M Reza Vagefi; Ayman Naseri
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-11-13
Journal Detail:
Title:  American journal of ophthalmology     Volume:  143     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-23     Completed Date:  2007-03-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  526-8     Citation Subset:  AIM; IM    
Department of Ophthalmology, University of California, San Francisco, San Francisco, California, USA.
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MeSH Terms
Anterior Eye Segment / ultrasonography
Cornea / surgery*
Endophthalmitis / etiology
Microscopy, Acoustic
Surgical Flaps / adverse effects*
Surgical Wound Dehiscence / etiology*,  ultrasonography
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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