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S. Phacoemulsification Step by Step - Wound Closure & Completion

Wound closure of the paracenteses and keratotomy is necessary to keep the anterior chamber formed and reduce the risk of endophthalmitis. Stromal hydration performed with a Rycroft cannula on a leur locked 3ml syringe with BSS needs to be injected into the anterior to mid-stroma to avoid the endothelium and the potential for a Descemet membrane dehiscence.  Stability of the anterior chamber with no fluid leak must be ensured.  Subconjunctival injection of steroid and/or antibiotics needs to be performed carefully to avoid conjunctival vessels and haemorrhage.  When removing the speculum, the anterior chamber is observed for any sign of shallowing.