Intraoperative vertical gas breakthrough during clear corneal incision creation with the femtosecond cataract laser

Dilraj S Grewal; Surendra Basti

doi:10.1016/j.jcrs.2014.01.025

Intraoperative vertical gas breakthrough during clear corneal incision creation with the femtosecond cataract laser

J Cataract Refract Surg. 2014 Apr;40(4):666-70. doi: 10.1016/j.jcrs.2014.01.025. Epub 2014 Feb 20.

Authors

Dilraj S Grewal¹, Surendra Basti²

Affiliations

¹ From the Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
² From the Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Electronic address: sbasti@northwestern.edu.

PMID: 24560553
DOI: 10.1016/j.jcrs.2014.01.025

Abstract

We report the occurrence and management of intraoperative vertical gas breakthrough during clear corneal incision creation with the femtosecond laser (Catalys) in 2 patients. Both eyes were managed by creation of a keratome incision, and the surgery was completed uneventfully. There were no postoperative complications. We believe that wound architecture and corneal clarity in the area of wound creation predispose to the occurrence of vertical gas breakthrough. Careful inspection of wound integrity can provide clues to an incomplete wound.

Financial disclosure: Neither author has a financial or proprietary interest in any material or method mentioned.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Cornea / surgery*
Female
Humans
Intraoperative Complications*
Laser Therapy / methods*
Lens Implantation, Intraocular
Male
Microbubbles*
Middle Aged
Phacoemulsification*
Suture Techniques
Wound Healing