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. 2006 Jan;141(1):222-4.
doi: 10.1016/j.ajo.2005.08.018.

A survey about phacoemulsification incision thermal contraction incidence and causal relationships

Michael J Bradley  1 , Randall J Olson
Affiliations

A survey about phacoemulsification incision thermal contraction incidence and causal relationships

Michael J Bradley et al. Am J Ophthalmol. 2006 Jan.

Abstract

Purpose: To ascertain the rate and related factors of phacoemulsification wound burns.

Design: Survey.

Methods: We conducted a survey of 523 ophthalmologists in Utah, Colorado, Montana, South Dakota, and Oregon.

Results: One hundred six doctors (20.3%) responded and provided data on 76,581 procedures and 75 wound burns (0.98/1000 procedures). Twenty-one wounds (28%) occurred during early sculpting, and 53 wounds (71%) occurred during fragment removal. Wound burns were found to be associated with surgical approach (P = .003), phacoemulsification unit (P = .007), and unit settings (P < .001).

Conclusion: Wound burns continue to be a serious complication; however, advances in technology and surgical technique help.

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