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Iatrogenic cataract after laser-assisted in situ keratomileusis
K Nakamura1, H Bissen-Miyajima, H Arai
1Department of Ophthalmology, Tokyo Dental College, Chiba, Japan. QYJ15752@nifty.ne.jp
Purpose:
To report a case of corneal opacity and iatrogenic cataract after laser-assisted in situ keratomileusis.
Method:
Case report. A 44-year-old man was initially seen with a traumatic cataract, corneal stromal opacity, and defect of the endothelium in the right eye after laser-assisted in situ keratomileusis performed by a plastic surgeon who had no ophthalmologic training.
Results:
It was speculated that repeated ablations resulted in corneal perforation. We immediately performed phacoemulisification to remove the cataract and to prevent phacolytic glaucoma. However, visual acuity remained 20/200 because of the corneal stromal opacity, and penetrating keratoplasty was performed 2 months later, which improved best-corrected visual acuity to 20/30.
Conclusions:
This case demonstrated that laser-assisted in situ keratomileusis can cause devastating damage to the eye.