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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Foreign body embedded in the iris after cataract surgery
Journal Information
Vol. 91. Issue 3.
Pages 134-137 (March 2016)
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Vol. 91. Issue 3.
Pages 134-137 (March 2016)
Short communication
Foreign body embedded in the iris after cataract surgery
Cuerpo extraño enclavado en iris después de cirugía de catarata
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541
E. Santos-Bueso
Corresponding author
esbueso@hotmail.com

Corresponding author.
, M. Jiménez-Santos, D. Díaz-Valle, J.A. Gegúndez-Fernández, R. Cuiña-Sardiña, J.M. Benítez-del-Castillo, J. García-Sánchez
Unidad de Neurooftalmología, Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Spain
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Abstract
Case report

A 75-year-old woman who had had cataract surgery in her left eye and showed a visual acuity of 0.8 twenty-four hours post-surgery. Biomicroscopy revealed a foreign body attached to the iris in the nasal sector that coincided with the main incision of the phacoemulsification, which was then removed in a second surgical procedure. It was analyzed and described as an inert structure made of plastic.

Discussion

The possible origin of the presence of a fragment of plastic in the postoperative period following cataract surgery is established. In this case, its inert nature did not cause any further intraocular inflammation. Its rigid structure also favored its attachment to the iris, thus avoiding any other complications. There must be greater preventative measures during cataract surgery, including checking the instruments and accessories before and after the surgical procedure.

Keywords:
Foreign body
Iris
Cataract surgery
Phacoemulsification
Plastic
Resumen
Caso clínico

Mujer de 75 años intervenida de catarata en ojo izquierdo, que presentaba a las 24h una agudeza visual de 0,8. En la biomicroscopia destacaba un cuerpo extraño anclado al iris en sector nasal coincidente con la incisión principal de la facoemulsificación, que fue retirado en un segundo acto quirúrgico. Fue analizado e informado como estructura inerte de naturaleza plástica.

Discusión

Planteamos el posible origen de la presencia del resto plástico en el postoperatorio de la cirugía de la catarata. En este caso su naturaleza inerte no desencadenó mayor inflamación intraocular. Además, la estructura rígida favoreció su anclaje al iris evitando otras complicaciones. Deben extremarse las medidas preventivas en la cirugía de la catarata revisando incluso los instrumentos y accesorios al terminar la cirugía.

Palabras clave:
Cuerpo extraño
Iris
Cirugía de catarata
Facoemulsificación
Plástico

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