A Case of Cataract Surgery after Radial Keratotomy.

Lee, Eun Jung; Han, Jong Chul; Kee, Chang Won

doi:2014.55.7.1089

J Korean Ophthalmol Soc > Volume 55(7); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(7):1089-1092.
DOI: https://doi.org/10.3341/jkos.2014.55.7.1089 Published online July 15, 2014.

A Case of Cataract Surgery after Radial Keratotomy.

Eun Jung Lee, Jong Chul Han, Chang Won Kee

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ckee@skku.edu

방사상 각막절개술 후 백내장 수술을 시행한 1예

이은정⋅한종철⋅기창원

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

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.

Key Words: Cataract surgery;Radial keratotomy;Wound dehiscence