AI Article Synopsis
- This case report details a rare instance of acute corneal melting and perforation in an 86-year-old woman one week post-cataract surgery, highlighting potential underlying causes.
- The patient had a history of radiation treatment for cancer and undiagnosed rheumatoid arthritis, contributing to her ocular surface disorder.
- Surgical intervention was performed using Gundersen's conjunctival flap, as the patient preferred it over corneal keratoplasty due to concerns about graft rejection.
Article Abstract
This is a rare case report of acute, paracentral corneal melting and perforation occurring 1 week after an uneventful cataract surgery, with discussions on possible pathogenetic mechanisms. Relevant literature was also reviewed. Herein, a case of an 86-year-old woman with acute, paracentral, and sterile corneal melting and perforation in her left eye at 1 week after an uncomplicated cataract extraction is described. This occurs at the base of ocular surface disorders due to previous radiation of her lower eyelid and cheeks for the treatment of cancer and previously undiagnosed rheumatoid arthritis. She underwent surgical treatment using Gundersen's conjunctival flap for the existing perforation due to low visual expectancies and reluctance to undergo corneal keratoplasty due to the risk of corneal graft rejection. The risk of coming across an acute corneal melting after an uncomplicated cataract surgery in the eyes with ocular surface disorders should always be considered.
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| http://dx.doi.org/10.5935/0004-2749.20210025 | DOI Listing |
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