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Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes

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Phacoemulsification Wound Burn and Its Management.

Rosa Giglio¹, Alex Lucia Vinciguerra¹, Leandro Inferrera¹

¹Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

Case Reports in Ophthalmology

|April 9, 2024

Summary

Phacoemulsification can cause thermal injury to the eye. This case study details a patient who developed severe corneoscleral burns and subsequent corneal grafting after cataract surgery.

Keywords:

Cataract extraction Penetrating keratoplasty Phacoemulsification Thermal injury

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Area of Science:

Ophthalmology
Surgical Innovation
Biomedical Engineering

Background:

Phacoemulsification, a common cataract surgery technique, utilizes ultrasonic energy.
This energy generation can lead to significant heat production.
Ocular tissues, especially the corneoscleral wound, are susceptible to thermal damage.

Observation:

An 89-year-old patient with senile hypermature cataract and Fuchs endothelial dystrophy experienced severe thermal corneoscleral injury during phacoemulsification.
Initial presentation revealed reduced visual acuity and a corneal melt at the surgical site.
Corneal edema was also noted.

Findings:

The patient underwent a temporal circular corneal patch graft 1 month post-injury.
A penetrating keratoplasty was performed 16 months after the initial phacoemulsification surgery.
These interventions addressed the corneal integrity compromised by the thermal burn.

Implications:

Corneal surgical interventions like lamellar patch grafts and penetrating keratoplasty can restore ocular integrity after thermal injury.
These procedures can mitigate complications such as corneal scarring and astigmatism.
Successful surgical management can significantly improve visual outcomes in patients with phacoemulsification-induced burns.