A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery.

Jee, Donghyun; Kim, Kyu Seop

doi:2010.51.8.1146

J Korean Ophthalmol Soc > Volume 51(8); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(8):1146-1149.
DOI: https://doi.org/10.3341/jkos.2010.51.8.1146 Published online August 15, 2010.

A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery.

Donghyun Jee, Kyu Seop Kim

Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Suwon, Korea. donghyunjee@catholic.ac.kr

관상동맥우회술 후 발생한 양안의 각막절개창 파열과 홍채탈출 1예

지동현ㆍ김규섭

Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Suwon, Korea

Abstract

PURPOSE
To report a case of bilateral corneal wound dehiscence with iris prolapse after coronary artery bypass surgery. CASE SUMMARY: A 65-year-old woman complained of sudden bilateral vision loss. Slit lamp microscope examination showed bilateral corneal wound dehiscence, collapse of the anterior chamber and iris prolapse. The patient had a history of bilateral cataract surgery one-month earlier and a coronary artery bypass surgery one-day previously. The authors resutured the corneal wound and performed an emergency iris repositioning. Postoperative 1 day, the best corrected visual acuity (BCVA) was 0.3 in the right eye and hand motion in the left eye. Total hyphema was observed in the left eye. At postoperative 2 months, the right eye had a BCVA of 0.63 with a sutured state of the corneal wound, and the left eye had a BCVA of light perception with a clotted hemorrhage in the anterior chamber. CONCLUSIONS: When a patient with a history of a previous sutureless cataract surgery has a coronary bypass surgery under general anesthesia, corneal wound dehiscence and iris prolapse may occur. For those patients, the authors recommend suturing the corneal wound instead of sutureless cataract surgery.

Key Words: Corneal wound dehiscence;General anesthesia;Iris prolapse