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KMID : 0360220140550071089
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Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 7 p.1089 ~ p.1092
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A Case of Cataract Surgery after Radial Keratotomy
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Lee Eun-Jung
Han Jong-Chul
Kee Chang-Won
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Abstract
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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.
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KEYWORD
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Cataract surgery, Radial keratotomy, Wound dehiscence
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