|
KMID : 1191420090080010038
|
|
Korean Journal of Optometry and Vision Science
2009 Volume.8 No. 1 p.38 ~ p.41
|
|
|
Endophthalmitis after Clear Corneal Incision Cataract Surgery in a Patient with Leprosy
|
|
Han Dae-Heon
Sohn Hee-Jin
Kim Kyun-Hyung
Shyn Kyung-Hwan
Nam Dong-Heun
|
|
|
Abstract
|
|
|
Purpose: To report a case of endophthalmitis which occurred two weeks after clear corneal incision cataract surgery in a patient with leprosy.
Methods: A 71-years-old man visited our clinic because of visual disturbances in both eyes lasting several months. Therewere histories of leprosy, bronchial asthma, and chronic renal failure. We performed sutureless clear cornea phacoemulsification with posterior chamber intraocular lens implantation in the left eye. Eight days after the cataract surgery, best-corrected visual acuity (BCVA) was 0.4. On the postoperative 14 days, he presented with a sudden loss of vision and eyeball pain lasting 2 days and BCVA was 0.02. There were whitish membrane radiating to the anterior chamber from the clear corneal wound and hypopyon in the anterior chamber. On the eyeball ultrasonography, there were vitreous opacities.
Results: Diagnosed with infectious endophthalmitis, we performed intravitreal antibiotics injection. Then, 23- gauge transconjunctival sutureless vitrectomy, anterior chamber irrigation and fibrinous membrane removal were performed. The previous clear corneal wound was sutured. BCVA was 0.5 and there was no evidence of recurrence on 2 months after vitrectomy.
Conclusions: In patients with risk factors for infection such as leprosy, scleral or sutured corneal cataract incision should be used rather than unsutured clear corneal incision.
|
|
|
KEYWORD
|
|
|
Clear corneal cataract incision, Endophthalmitis, Leprosy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|