Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Corneal perforation after conductive keratoplasty with previous refractive surgery.
Journal of Cataract and Refractive Surgery
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
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.
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
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