Neurotrophic Corneal Ulcer Development Following Cataract Surgery with a Limbal Relaxing Incision.
10.3341/kjo.2011.25.3.210
- Author:
Sang Woong MOON
1
;
Dong Ju YEOM
;
So Hyang CHUNG
Author Information
1. Department of Ophthalmology, East-West Neo Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Cataract operation;
Limbal relaxing incisions;
Neurotrophic corneal ulcer
- MeSH:
Cataract Extraction/*adverse effects/*methods;
Corneal Diseases/etiology;
Corneal Ulcer/*etiology/*pathology/physiopathology;
Humans;
Hypesthesia/etiology;
Limbus Corneae/*surgery;
Male;
Middle Aged;
Ophthalmologic Surgical Procedures/*adverse effects;
Phacoemulsification;
Wound Healing
- From:Korean Journal of Ophthalmology
2011;25(3):210-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 60-year-old man with bilateral corneal opacity underwent cataract extraction surgery involving the use of a limbal relaxing incision in his left eye. He had lower lid ectropion and lagophthalmos in both eyes. Eleven days after the surgery, a slit-lamp examination revealed a neurotrophic corneal ulcer with a punch-out epithelial defect and rolled edges at the center of the pre-existing corneal opacity. The patient was treated with sodium hyaluronate, autologous serum, and oral doxycycline. Six weeks after the surgery an improvement in corneal sensation was observed and the neurotrophic corneal ulcer subsequently healed over the course of one year. In this report, we present a case of neurotrophic keratitis that occurred after performing cataract surgery concurrent with a limbal relaxing incision. As such, we suggest that limbal relaxing incisions should be performed cautiously in patients with causative risk factors for corneal hypesthesia.
