J Korean Ophthalmol Soc.  2010 Aug;51(8):1146-1149.

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

• Jee D
• Kim KS

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.

Keyword

Corneal wound dehiscence; General anesthesia; Iris prolapse

MeSH Terms

Aged
Anesthesia, General
Anterior Chamber
Cataract
Coronary Artery Bypass
Emergencies
Eye
Female
Hand
Hemorrhage
Humans
Hyphema
Iris
Light
Prolapse
Vision, Ocular
Visual Acuity

Figure

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  Figure 1. Bilateral corneal wound dehiscence with iris prolapse (A,B). Anterior chamber reformed in the right eye postoperative 1 day (C), 2 months (E). Total hyphema filled anterior chamber postoperative 1 day (D), 2 months (F).

Reference

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