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A Rogue Cystotome

Deidre St. Peter, MD, and Cara Capitena Young, MD

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[No narration] A 75-year-old patient was scheduled for phacoemulsification in the right eye. The surgeon (a new trainee) had started to perform the capsulorhexis when they suddenly lost control of the cystotome, leading it to shoot forcibly across the anterior chamber and around the lens equator. Upon retraction of the cystotome, a strand of vitreous was identified at the instrument edge. Intraocular scissors were used to lyse the vitreous strand and remove the cystotome. Triamcinolone acetonide was injected, and no further vitreous was identified. The capsule appeared intact. The capsulorhexis was completed, and phacoemulsification was performed without incident.

Posted: 8/12/2024

Keywords:

Cystotome

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A Rogue Cystotome

Deidre St. Peter, MD, and Cara Capitena Young, MD

[No narration] A 75-year-old patient was scheduled for phacoemulsification in the right eye. The surgeon (a new trainee) had started to perform the capsulorhexis when they suddenly lost control of the cystotome, leading it to shoot forcibly across the anterior chamber and around the lens equator. Upon retraction of the cystotome, a strand of vitreous was identified at the instrument edge. Intraocular scissors were used to lyse the vitreous strand and remove the cystotome. Triamcinolone acetonide was injected, and no further vitreous was identified. The capsule appeared intact. The capsulorhexis was completed, and phacoemulsification was performed without incident.

Posted: 8/12/2024

Keywords:

Cystotome

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