A Case of Corneal Burn During Phacoemulsification.

Lee, Hyo Seok; Lee, Tae Hee; Yoon, Kyung Chul

doi:2014.55.3.454

J Korean Ophthalmol Soc > Volume 55(3); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(3):454-458.
DOI: https://doi.org/10.3341/jkos.2014.55.3.454 Published online March 15, 2014.

A Case of Corneal Burn During Phacoemulsification.

Hyo Seok Lee, Tae Hee Lee, Kyung Chul Yoon

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. kcyoon@jnu.ac.kr

수정체 초음파유화술 중 발생한 각막화상 1예

이효석⋅이태희⋅윤경철

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea

Abstract

PURPOSE
To report a case of severe corneal burn during phacoemulsification that was successfully managed with a second operation and medical treatment. CASE SUMMARY: An 89-year-old female had phacoemulsification of a mature cataract in her right eye, and was transferred to our outpatient clinic after development of a thermal burn at the corneal incision site. On initial examination, visual acuity was light perception and slit-lamp examination revealed diffuse, severe corneal edema, and a 3.0 x 3.0 mm-sized epithelial defect with severe stromal opacity around the incision site. Extracapsular cataract extraction through superior scleral incision was performed with posterior chamber implantation of a 3-piece hydrophobic acrylic intraocular lens (IOL). Topical steroids as well as hypertonic saline were used to manage corneal edema postoperatively. One month postoperatively, her best corrected visual acuity was 0.06 and slit-lamp examination showed markedly decreased corneal edema and epithelial defect. Three months postoperatively, her best corrected visual acuity was 0.2, the IOL was centered in the capsular bag, and corneal edema nearly disappeared with remnant moderate corneal opacities. CONCLUSIONS: We report successful treatment of severe corneal burn during phacoemulsification managed with extracapsular cataract extraction through scleral incision and medical treatment.

Key Words: Corneal burn;Extracapsular cataract extraction;Phacoburn;Phacoemulsification