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Intraoperative breakage of a disposable 23-gauge trocar tip
Joshua D Udoetuk1, Golnaz Javey, Petros E Carvounis
1Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.
Purpose:
To report breakage of the tip of a 23-gauge trocar system during pars plana vitrectomy.
Methods:
Retrospective single case report.
Results:
A 56-year-old man was undergoing pars plana vitrectomy for vitreous hemorrhage using a 23-gauge 1-step trocar/cannula entry system. After placement of the first cannula and upon withdrawing the trocar from the sclera, we noted that the tip had broken. We switched to another brand and completed the surgery without complication. Inspection of the fundus and plain radiography showed no intraocular foreign body, and the patient had an uncomplicated recovery.
Conclusion:
Vitreoretinal surgeons should be aware of the possibility of intraoperative breakage of the 23-gauge trocar tip after creation of the scleral tunnel.
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