A Case of Cataract Surgery in an Epikeratophakia Patient.

Jeon, Soo Ji; Cho, Yang Kyung

doi:2016.57.2.310

J Korean Ophthalmol Soc > Volume 57(2); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(2):310-315.
DOI: https://doi.org/10.3341/jkos.2016.57.2.310 Published online February 1, 2016.

A Case of Cataract Surgery in an Epikeratophakia Patient.

Soo Ji Jeon, Yang Kyung Cho

Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. yangkyeung@hanmail.net

상층각막성형술을 받은 환자에서 시행한 백내장 수술 1예

전수지⋅조양경

가톨릭대학교 의과대학 안과 및 시과학교실

Abstract

PURPOSE
To report a case of cataract surgery in an epikeratophakia patient. CASE SUMMARY: A 59-year-old female with a history of epikeratophakic surgery 20 years ago complained of decreased visual acuity of both eyes for several months. She had nucleosclerotic and posterior subcapsular types of cataracts. Phacoemulsification and posterior capsule intraocular lens implantation were performed in both eyes. During surgery, corneal edema was especially prominent at the cornea with epikeratophakic lenticules in both eyes. In the left eye, severe corneal edema after one day of surgery was observed; however, after one week, corneal edema had subsided and visual acuity of both eyes had improved. CONCLUSIONS: When it necessary that cataract surgery is performed in patients with epikeratophakic lenticules, it is important to anticipate the corneal edema intraoperatively and postoperatively. Moreover, the surgeon should consider the acute calculation of the target refraction of intraocular lens in an epikeratophakia patient.

Key Words: Cataract surgery;Corneal edema;Epikeratophakia