Descemet's tear due to injector cartridge tip deformity: Cartridge shaft deformity
Identifieur interne : 001327 ( Pmc/Checkpoint ); précédent : 001326; suivant : 001328Descemet's tear due to injector cartridge tip deformity: Cartridge shaft deformity
Auteurs : Rajesh S. Joshi [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2013.
Url:
DOI: 10.4103/0301-4738.107205
PubMed: 23412530
PubMed Central: 3638335
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Descemet's tear due to injector cartridge tip deformity: Cartridge shaft deformity</title><author><name sortKey="Joshi, Rajesh S" sort="Joshi, Rajesh S" uniqKey="Joshi R" first="Rajesh S" last="Joshi">Rajesh S. Joshi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, Maharastra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, Maharastra</wicri:regionArea><wicri:noRegion>Maharastra</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23412530</idno><idno type="pmc">3638335</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638335</idno><idno type="RBID">PMC:3638335</idno><idno type="doi">10.4103/0301-4738.107205</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000D54</idno><idno type="wicri:Area/Pmc/Curation">000D54</idno><idno type="wicri:Area/Pmc/Checkpoint">001327</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Descemet's tear due to injector cartridge tip deformity: Cartridge shaft deformity</title><author><name sortKey="Joshi, Rajesh S" sort="Joshi, Rajesh S" uniqKey="Joshi R" first="Rajesh S" last="Joshi">Rajesh S. Joshi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, Maharastra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, Maharastra</wicri:regionArea><wicri:noRegion>Maharastra</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Biswas, P" uniqKey="Biswas P">P Biswas</name></author><author><name sortKey="Sengupta, S" uniqKey="Sengupta S">S Sengupta</name></author><author><name sortKey="Paul, A" uniqKey="Paul A">A Paul</name></author><author><name sortKey="Kochgaway, L" uniqKey="Kochgaway L">L Kochgaway</name></author><author><name sortKey="Biswas, S" uniqKey="Biswas S">S Biswas</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">IJO</journal-id><journal-title-group><journal-title>Indian Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">0301-4738</issn><issn pub-type="epub">1998-3689</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23412530</article-id><article-id pub-id-type="pmc">3638335</article-id><article-id pub-id-type="publisher-id">IJO-61-82b</article-id><article-id pub-id-type="doi">10.4103/0301-4738.107205</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Descemet's tear due to injector cartridge tip deformity: Cartridge shaft deformity</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Joshi</surname><given-names>Rajesh S</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1">Department of Ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, Maharastra, India</aff><author-notes><corresp id="cor1"><bold>Correspondence to:</bold> Dr. Rajesh Subhash Joshi, 77, Panchatara Housing Society, Manish Nagar, Somalwada, Nagpur – 440 015, Maharastra, India. E-mail: <email xlink:href="jrajesh5@rediffmail.com">jrajesh5@rediffmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2013</year></pub-date><volume>61</volume><issue>2</issue><fpage seq="b">82</fpage><lpage>83</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Ophthalmology</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions></article-meta></front><body><p>Dear Editor,</p><p>I read with interest an article by Biswas <italic>et al</italic>., on descemet's tear due to injector cartridge deformity.[<xref ref-type="bibr" rid="ref1">1</xref>] I congratulate the authors for the suggestions given to avoid such a mishap. The authors described the situation were injector used was probably reusable for hydrophobic intraocular lenses (IOL).</p><p>I would like to share a situation were the cartridge shaft broke apart during the implantation of the hydrophilic IOL. These IOLs are provided with the disposable injector and the cartridge packed along with the IOL or separately. The leading haptic and optic went inside the capsular bag but the cartridge shaft broke away vertically parallel to the axis of the cartridge 6-8mm from the tip as the trailing haptic passed through the weak area [Figs. <xref ref-type="fig" rid="F1">1</xref> and <xref ref-type="fig" rid="F2">2</xref>]. The folding of the IOL was done by the author himself under the operating microscope. Another injector and the cartridge were used for the implantation of the IOL.</p><fig id="F1" position="float"><label>Figure 1</label><caption><p>Deformed cartridge with protruding trailing haptic of the IOL (Arrow)</p></caption><graphic xlink:href="IJO-61-82b-g001"></graphic></fig><fig id="F2" position="float"><label>Figure 2</label><caption><p>Weak area in the shaft of the cartridge (Arrow)</p></caption><graphic xlink:href="IJO-61-82b-g002"></graphic></fig><p>The mishap did not affect the postoperative visual out come, as the IOL was withdrawn from the anterior chamber but left us in doubt about the manufacturing defect. The matter was reported to the concerned manufacturer and requested to provide an extra injector and the cartridge.</p><p>I do agree with the authors about inspection of cartridge under the slit lamp/microscope for the damage so as to replace immediately. But weak areas on the cartridge may be missed sometimes. Such occurrences could be routine but few are reported. India being a huge market for the disposables used for cataract surgery quality control is essential. I take this opportunity to request All India Ophthalmological Society to form a quality control committee which will ensure uniform quality of the disposables used in the ocular surgery.</p></body><back><ref-list><title>Reference</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Biswas</surname><given-names>P</given-names></name><name><surname>Sengupta</surname><given-names>S</given-names></name><name><surname>Paul</surname><given-names>A</given-names></name><name><surname>Kochgaway</surname><given-names>L</given-names></name><name><surname>Biswas</surname><given-names>S</given-names></name></person-group><article-title>Descemet's tear due to injector cartridge tip deformity</article-title><source>Indian J Ophthalmol</source><year>2012</year><volume>60</volume><fpage>218</fpage><lpage>20</lpage><pub-id pub-id-type="pmid">22569386</pub-id></element-citation></ref></ref-list></back></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Joshi, Rajesh S" sort="Joshi, Rajesh S" uniqKey="Joshi R" first="Rajesh S" last="Joshi">Rajesh S. 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