Traumatic Wound Dehiscence Following Cataract Surgery

ABSTRACT

We retrospectively evaluated traumatic wound dehiscence in 13 aphakic and pseudophakic patients from Jan. 1980 to Mar. 1990. The results are as follows 1. The most common cause of wound disruption was trauma by hand and finger(53.8%). 2. The interval between cataract surgery and trauma was almost within 4 weeks(76.9%). 3. Iris prolapse occurred in 11 patients, and one patient had just wound dehiscence. In severely injured patients, iris and vitreous prolapse, IOL protrusion and posterior capsule rupture were encountered. 4. Best-corrected postoperative vision of 0.6 or better was achieved in 9 of 13 patients at postoperative 2 months and in 10 of 13 patients at postoperative 6 months. 5. Postoperative astigmatism within +/- 2.00D was noted in 9 of 13 patients at postoperative 2 months and in 11 of 13 patients at postoperative 6 months. 6. The causes of postoperative poor vision were cystoid macular edema(1 patient) and anterior proliferative vitreoretinopathy with tractional retinal detachment(1 patient). 7. The percentage of endothelial cell loss was 20.2% at postoperative 2 months.