A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery

Donghyun Jee; Kyu Seop Kim

doi:10.3341/jkos.2010.51.8.1146

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Jee and Kim: A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery

Original Article

J Korean Ophthalmol Soc 2010;51(8):1146-1149.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.8.1146

A Case of Bilateral Corneal Wound Dehiscence With Iris Prolapse After Coronary Bypass Surgery

Donghyun Jee, MD, Kyu Seop Kim, MD

Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Suwon, Korea

Address reprint requests to Donghyun Jee, MD Department of Ophthalmology, St. Vincent Hospital #93-6 Ji-dong, Paldal-gu, Suwon 442-723, Korea Tel: 82-31-249-7343, Fax: 82-31-251-6225, E-mail: donghyunjee@catholic.ac.kr

Received 18 December 2009 Accepted 25 May 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of bilateral corneal wound dehiscence with iris prolapse after coronary artery bypass surgery.

Case summary:

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 post-operative 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.

Keywords: Corneal wound dehiscence, General anesthesia, Iris prolapse

References

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Figure 1.

Bilateral corneal wound dehiscence with iris prolapse (A,B). Anterior chamber reformed in the right eye postoperative 1 day (C), 2 months (E). Total hyphema filled anterior chamber postoperative 1 day (D), 2 months (F).

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