American Journal of Ophthalmology Case Reports (Mar 2019)

Three cases of acute sterile corneal melt after cataract surgery

  • Kohei Harada,
  • Yasser Helmy Mohamed,
  • Masafumi Uematsu,
  • Daisuke Inoue,
  • Ryotaro Ueki,
  • Shiori Harada,
  • Naoki Imamura,
  • Inamoto Miwako,
  • Takashi Kitaoka

Journal volume & issue
Vol. 13
pp. 62 – 65

Abstract

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Purpose: To report three cases of acute sterile corneal melt after cataract surgery. Observations: Case 1 was a 21-year-old male presenting with a corneal perforation of his right eye at 10 days after cataract surgery. Case 2 was a 67-year-old male who developed a corneal melt in his left eye at 15 days after cataract surgery. Case 3 was a 70-year-old female with a corneal melt of her left eye at 7 days after cataract surgery. None of the cases exhibited any signs of infection. Topical nonsteroidal anti-inflammatory drug use, dry eye, systemic autoimmune diseases, and/or a combination of these were present in patients who developed corneal melt after cataract surgery. Conclusions and Importance: Corneal melt cases can occur early after cataract surgery, thereby leading to corneal thinning and perforation. Keywords: Corneal melt, Corneal perforation, Nonsteroidal anti-inflammatory drugs, Dry eye, Autoimmune disease