A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery
Journal of the Korean Ophthalmological Society
;
: 1146-1149, 2010.
Article
in Korean
| WPRIM
| ID: wpr-215563
ABSTRACT
PURPOSE:
To report a case of bilateral corneal wound dehiscence with iris prolapse after coronary artery bypass surgery. CASESUMMARY:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prolapse
/
Vision, Ocular
/
Cataract
/
Hyphema
/
Visual Acuity
/
Iris
/
Coronary Artery Bypass
/
Emergencies
/
Eye
/
Hand
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2010
Type:
Article
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