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A novel approach to prevent endothelial tear/detachment in combined advanced pseudoexfoliation and diabetes mellitus during phacoemulsification

Poster Details

First Author: O.Abdullah IRAQ

Co Author(s):                        

Abstract Details


To find a novel way to prevent endothelial tear/detachment during phacoemulsification in advanced pseudoexpholiation combined with diabetis mellitus undergoing phacoemulsification.


Department of Ophthalmology, Rzgary Teaching Hospital, Kurdistan Regional Governorate,Erbil-Iraq, from Sptember 2013 to February 2015.


After drop and subconjunctival anesthesia, the incisions done according to the groups. Group A, clear corneal incision for the site port and the main incision done. Group B, both incisions performed at the limbus. Group C, scleral tunnel incision for the both incisions. Then the pupil dilated bimanually followed by capsulorhexis and hydrodissection, then primary vertical chop-stop done for almost all cases in one session (without re-insertion othe probes). Followed by coaxial IA and foldable lens insertion. In the tear or detachment cases; the anterior chamber formed with air for re-attaching the tear or the detachments,


A comparision study done after doing more than 5000 phacoemulsification. A total 83 eyes of 43 patients were taken in this study. Group A, in the first 15 cases; in 11 cases detachment happened for about 1-1.5mm but only tear at the site ports. Group B, were 21 cases, endothelial tear happened about less than 1mm; in 12 but no detachment. Group C, were 47 cases, neither tear nor detachment happened in almost all cases.The data analyzed with SPSS 20 and the P-value was (0.006) for the Group C.


The study has showed that scleral tunnel for both the main incision and the side port provides a novel approach to prevent endothelial tear/detachment in combined pseudoexpholiation and diabetic mellitus during phacoemulsification.

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