Journal List > J Korean Ophthalmol Soc > v.51(8) > 1008627

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

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.

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).
jkos-51-1146f1.tif
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