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Clinical course of phacoemulsification wound burns
1W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, USA.
Purpose:
To present 3 cases illustrating the outcomes of phacoemulsification corneal wound burns.
Setting:
A university referral center.
Methods:
This was a retrospective case series.
Results:
Three patients developed corneal wound burns during phacoemulsification of cataract. All eyes developed from +7.00 to +15.00 diopters of astigmatism in the axis of the incision. In 2 eyes, the astigmatism decreased over several months. The third had permanent high astigmatism and corneal edema requiring corneal transplantation.
Conclusions:
Corneal wound burns occurring during phacoemulsification can have serious effects on the cornea, including corneal edema and severe astigmatism. In the milder cases, the astigmatism decreases spontaneously over several months.