Study on infusion misdirection syndrome during phacoemulsification cataract surgery
Infusion misdirection syndrome(IMS)is a rare and troublesome intraoperative complication during phacoemulsification cataract surgery, which usually occurs in hydrodissection, phacoemulsification or irrigation/aspiration(I/A). Under the factors of lax zonular fibers, lens dislocation, posterior capsu...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-11-01
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| Series: | Guoji Yanke Zazhi |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/cn_publish/2023/11/202311010.pdf |
| _version_ | 1797652576665075712 |
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| author | Yi-Ru Wang Hui-Ying Rao |
| author_facet | Yi-Ru Wang Hui-Ying Rao |
| author_sort | Yi-Ru Wang |
| collection | DOAJ |
| description | Infusion misdirection syndrome(IMS)is a rare and troublesome intraoperative complication during phacoemulsification cataract surgery, which usually occurs in hydrodissection, phacoemulsification or irrigation/aspiration(I/A). Under the factors of lax zonular fibers, lens dislocation, posterior capsular rupture, the anterior segment crowding, high perfusion pressure, the infusion fluid accumulates in the vitreous cavity or behind the vitreous, leading to intraocular hypertension, shallowness or even disappearance of the anterior chamber and eventually causing the suspension of surgery. It needs to be differentiated from suprachoroidal hemorrhage(SCH), capsular block syndrome(CBS), etc. After intraoperative emergency treatments, such as rest combined with intravenous drip of mannitol, pars plana needle aspiration or vitrectomy, a favorable prognosis can be obtained. This review discusses the pathogenesis, diagnosis, emergency management, prevention and prognosis of IMS during phacoemulsification cataract surgery, with the aim of providing clinical guidance for ophthalmologists. |
| first_indexed | 2024-03-11T16:31:59Z |
| format | Article |
| id | doaj.art-2545813e6686425c8a1ade66b6a2d2a5 |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-03-11T16:31:59Z |
| publishDate | 2023-11-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-2545813e6686425c8a1ade66b6a2d2a52023-10-24T02:34:26ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-11-0123111821182510.3980/j.issn.1672-5123.2023.11.10202311010Study on infusion misdirection syndrome during phacoemulsification cataract surgeryYi-Ru Wang0Hui-Ying Rao1Clinical Medical College of Fujian Medical University, Fuzhou 350001, Fujian Province, ChinaDepartment of Ophthalmology, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, ChinaInfusion misdirection syndrome(IMS)is a rare and troublesome intraoperative complication during phacoemulsification cataract surgery, which usually occurs in hydrodissection, phacoemulsification or irrigation/aspiration(I/A). Under the factors of lax zonular fibers, lens dislocation, posterior capsular rupture, the anterior segment crowding, high perfusion pressure, the infusion fluid accumulates in the vitreous cavity or behind the vitreous, leading to intraocular hypertension, shallowness or even disappearance of the anterior chamber and eventually causing the suspension of surgery. It needs to be differentiated from suprachoroidal hemorrhage(SCH), capsular block syndrome(CBS), etc. After intraoperative emergency treatments, such as rest combined with intravenous drip of mannitol, pars plana needle aspiration or vitrectomy, a favorable prognosis can be obtained. This review discusses the pathogenesis, diagnosis, emergency management, prevention and prognosis of IMS during phacoemulsification cataract surgery, with the aim of providing clinical guidance for ophthalmologists.http://ies.ijo.cn/cn_publish/2023/11/202311010.pdfinfusion misdirection syndromecataractphacoemulsificationpathogenesisprocessing method |
| spellingShingle | Yi-Ru Wang Hui-Ying Rao Study on infusion misdirection syndrome during phacoemulsification cataract surgery Guoji Yanke Zazhi infusion misdirection syndrome cataract phacoemulsification pathogenesis processing method |
| title | Study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| title_full | Study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| title_fullStr | Study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| title_full_unstemmed | Study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| title_short | Study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| title_sort | study on infusion misdirection syndrome during phacoemulsification cataract surgery |
| topic | infusion misdirection syndrome cataract phacoemulsification pathogenesis processing method |
| url | http://ies.ijo.cn/cn_publish/2023/11/202311010.pdf |
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