Corneal perforation after conductive keratoplasty with previous refractive surgery.

Details

Serval ID
serval:BIB_27151
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Corneal perforation after conductive keratoplasty with previous refractive surgery.
Journal
Journal of Cataract and Refractive Surgery
Author(s)
Kymionis G.D., Titze P., Markomanolakis M.M., Aslanides I.M., Pallikaris I.G.
ISSN
0886-3350
Publication state
Published
Issued date
2003
Volume
29
Number
12
Pages
2452-2454
Language
english
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Abstract
A 56-year-old woman had conductive keratoplasty (CK) for residual hyperopia and astigmatism. Three years before the procedure, the patient had arcuate keratotomy, followed by laser in situ keratomileusis 2 years later for high astigmatism correction in both eyes. During CK, a corneal perforation occurred in the right eye; during the postoperative examination, an iris perforation and anterior subcapsule opacification were seen beneath the perforation site. The perforation was managed with a bandage contact lens and an antibiotic-steroid ointment; it had a negative Seidel sign by the third day. The surgery in the left eye was uneventful. Three months after the procedure, the uncorrected visual acuity was 20/32 and the best corrected visual acuity 20/20 in both eyes with a significant improvement in corneal topography. Care must be taken to prevent CK-treated spots from coinciding with areas in the corneal stroma that might have been altered by previous refractive procedures.
Keywords
Anti-Infective Agents/therapeutic use, Astigmatism/surgery, Corneal Diseases/etiology, Corneal Stroma/surgery, Electrocoagulation/adverse effects, Female, Glucocorticoids/therapeutic use, Humans, Hyperopia/surgery, Iris Diseases/etiology, Keratomileusis, Laser In Situ, Keratotomy, Radial, Lens Capsule, Crystalline/pathology, Lens Diseases/etiology, Middle Aged, Occlusive Dressings, Radio Waves, Rupture, Spontaneous, Visual Acuity
Pubmed
Web of science
Create date
19/11/2007 13:23
Last modification date
20/08/2019 14:05
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