Descemet's tear due to injector cartridge tip deformity

Partha Biswas*, Subhrangshu Sengupta, Ajoy Paul, Lav Kochgaway, Sayantan Biswas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Foldable intraocular lens (IOL) implantation using an injector system through 2.8-mm clear corneal incision following phacoemulsification provides excellent speedy postoperative recovery. In our reported case, a Sensar AR40e IOL (Abbott Medical Optics, USA) was loaded into Emerald C cartridge, outside the view of the operating microscope, by the first assistant. The surgeon proceeded with the IOL injection through a 2.8-mm clear corneal incision after uneventful phacoemulsification, immediately following which he noted a Descemet's tear with a rolled out flap of about 2 mm near the incision site. Gross downward beaking of the bevelled anterior end of the cartridge was subsequently noticed upon examination under the microscope. We suggest careful preoperative microscopic inspection of all instruments and devices entering the patient's eyes to ensure maximum safety to the patient.

Original languageEnglish
Pages (from-to)218-220
Number of pages3
JournalIndian journal of ophthalmology
Issue number3
Publication statusPublished - May 2012


  • Cartridge tip
  • descemet's tear
  • intraocular Lens
  • phacoemulsification


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