Corneal Problems during and after Phacoemulsification by Beginner Phacoemulsification Surgeon

Objective: To determine the corneal problems faced during and after phacoemulsification (phaco) as a beginner of phaco surgeries Methodology: Corneal problems in 100 cases of phaco were retrospectively analysed. Those cases with nuclei +3 / above and those who were operated in camps were excluded. Phaco-chop technique was used in 80% of cases. Average duration of surgery was 20 minutes Results: Corneal problems were analysed during and after phaco procedures. During phaco corneal abrasion was developed in 40% of cases, detachment of Descemet’s membrane was developed in 03% of cases. After phaco on first few days the main corneal problem was corneal edema and striate keratopathy which was in 53% of cases. Conclusion: To reduce corneal problems one has to reduce phaco time and power. We have done phaco in the anterior chamber in most of cases which have increases the chances of corneal endothelial damage and resulted in more corneal edema and striate in early postoperative period so one should try to do phaco in bag. Sharp instruments should be used. Phaco should be done in selected cases rather does “do phaco in all cases” strategy.