A Case of Cataract Surgery after Radial Keratotomy.
10.3341/jkos.2014.55.7.1089
- Author:
Eun Jung LEE
1
;
Jong Chul HAN
;
Chang Won KEE
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ckee@skku.edu
- Publication Type:Case Report
- Keywords:
Cataract surgery;
Radial keratotomy;
Wound dehiscence
- MeSH:
Cataract*;
Cicatrix;
Female;
Humans;
Keratotomy, Radial*;
Lens Implantation, Intraocular;
Middle Aged;
Myopia;
Phacoemulsification;
Wounds and Injuries
- From:Journal of the Korean Ophthalmological Society
2014;55(7):1089-1092
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a patient who underwent successful cataract surgery without wound dehiscence in the eye that had undergone previous radial keratotomy by performing a clear corneal incision between previous incisions. CASE SUMMARY: A 59-year-old female visited our medical center for decreased vision. The patient underwent radial keratotomy for correction of myopia in both eyes 11 years prior. On slit-lamp examination, cataract and eight radial keratotomy incisions were found. Phacoemulsification and posterior capsule intraocular lens implantation were performed for both eyes at a one-week interval. For the right eye, a clear corneal incision was made over the previous incision scar and wound dehiscence was successfully managed by prompt corneal suturing. For the left eye, a clear corneal incision was made between the previous incision scars, and wound dehiscence did not occur. CONCLUSIONS: As radial keratotomy patients age, cataract surgery should be considered. A successful surgery was possible without wound dehiscence in an eye that had undergone previous radial keratotomy in which a clear corneal incision was made between previous incision scars.
