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A survey about phacoemulsification incision thermal contraction incidence and causal relationships
Michael J Bradley1, Randall J Olson
1Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, and University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Purpose:
To ascertain the rate and related factors of phacoemulsification wound burns.
Design:
Survey.
Methods:
We conducted a survey of 523 ophthalmologists in Utah, Colorado, Montana, South Dakota, and Oregon.
Results:
One hundred six doctors (20.3%) responded and provided data on 76,581 procedures and 75 wound burns (0.98/1000 procedures). Twenty-one wounds (28%) occurred during early sculpting, and 53 wounds (71%) occurred during fragment removal. Wound burns were found to be associated with surgical approach (P = .003), phacoemulsification unit (P = .007), and unit settings (P < .001).
Conclusion:
Wound burns continue to be a serious complication; however, advances in technology and surgical technique help.
