J Korean Ophthalmol Soc.  2014 Jul;55(7):1089-1092.

A Case of Cataract Surgery after Radial Keratotomy

• Lee EJ
• Han JC
• Kee CW

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.

Keyword

Cataract surgery; Radial keratotomy; Wound dehiscence

MeSH Terms

Cataract*
Cicatrix
Female
Humans
Keratotomy, Radial*
Lens Implantation, Intraocular
Middle Aged
Myopia
Phacoemulsification
Wounds and Injuries

Figure

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  Figure 1. For the surgery of the right eye, a clear corneal incision was made with temporal approach over previous radial keratotomy incision site (A). Wound dehiscence developed during the surgery and 2 corneal sutures were performed with 10-0 nylon. For the surgery of the left eye, clear corneal incision was made between 45 and 90 degrees of angle to avoid previous radial keratotomy incision and resulted in successful surgery without wound dehiscence (B).

• 

  Figure 2. Anterior segment photograph. On the 8th postoperative day from the right eye surgery, corneal sutures of the right eye and radial keratotomy incision scars of both eyes are stable without dehiscence.

Reference

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