A surgeon reported a patient experienced a corneal burn during a cataract extraction procedure.The patient had a small anterior chamber, therefore it was necessary to use a greater amount of ophthalmic viscoelastic (ovd) to inflate the anterior chamber.The phacoemulsification (phaco) tip filled with the ovd upon insertion of the tip into the eye.The ovd was crystallized upon activation of the handpiece and the phaco tip clogged.Without cooling the burn was immediate.The occlusion alarm from the system did sound and was heard by the surgeon, but he did not realize the severity until the burn was noted.The tip was removed form the eye, rinsed and unclogged and the case was completed.A suture was required to close the wound.On post operative day one the patient presented with endothelial detachment and corneal folds.Additional information has been requested and received.Additional information received indicated that this ovd is not the usual ovd used by this surgeon.
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