Wound instability and management after cataract surgery in a patient with prior laser in situ keratomileusis

Clement J. Cheng, Walter J. Stark

Research output: Contribution to journalArticle

Abstract

We report a case of cataract wound instability and subsequent management after cataract surgery in a patient who had had hyperopic laser in situ keratomileusis (LASIK). Standard cataract surgery was performed through a nasal limbal incision. One day postoperatively, the uncorrected visual acuity (UCVA) was 20/20 and the wound was stable. Subsequent examinations revealed overlying corneal edema, cataract wound slippage with corresponding with-the-rule astigmatism, and decreased vision. Separating and resuturing the cataract wound resulted in significant and stable improvement in the UCVA to 20/40. At 18 months, the best corrected visual acuity was 20/20 with a refraction of -3.50 +0.25 × 155 and keratometry of 44.75/45.00 @ 155. Understanding wound stability and its management in cataract surgery in patients with prior LASIK refractive surgery will become increasingly important as more of these patients present.

Original languageEnglish (US)
Pages (from-to)1315-1317
Number of pages3
JournalJournal of cataract and refractive surgery
Volume33
Issue number7
DOIs
StatePublished - Jul 1 2007

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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