A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery.
10.3341/jkos.2010.51.8.1146
- Author:
Donghyun JEE
1
;
Kyu Seop KIM
Author Information
1. Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Suwon, Korea. donghyunjee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Corneal wound dehiscence;
General anesthesia;
Iris prolapse
- MeSH:
Aged;
Anesthesia, General;
Anterior Chamber;
Cataract;
Coronary Artery Bypass;
Emergencies;
Eye;
Female;
Hand;
Hemorrhage;
Humans;
Hyphema;
Iris;
Light;
Prolapse;
Vision, Ocular;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2010;51(8):1146-1149
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of bilateral corneal wound dehiscence with iris prolapse after coronary artery bypass surgery. CASE SUMMARY: A 65-year-old woman complained of sudden bilateral vision loss. Slit lamp microscope examination showed bilateral corneal wound dehiscence, collapse of the anterior chamber and iris prolapse. The patient had a history of bilateral cataract surgery one-month earlier and a coronary artery bypass surgery one-day previously. The authors resutured the corneal wound and performed an emergency iris repositioning. Postoperative 1 day, the best corrected visual acuity (BCVA) was 0.3 in the right eye and hand motion in the left eye. Total hyphema was observed in the left eye. At postoperative 2 months, the right eye had a BCVA of 0.63 with a sutured state of the corneal wound, and the left eye had a BCVA of light perception with a clotted hemorrhage in the anterior chamber. CONCLUSIONS: When a patient with a history of a previous sutureless cataract surgery has a coronary bypass surgery under general anesthesia, corneal wound dehiscence and iris prolapse may occur. For those patients, the authors recommend suturing the corneal wound instead of sutureless cataract surgery.
