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

doi:10.1016/j.ajoc.2018.12.004

Three cases of acute sterile corneal melt after cataract surgery

Am J Ophthalmol Case Rep. 2018 Dec 4:13:62-65. doi: 10.1016/j.ajoc.2018.12.004. eCollection 2019 Mar.

Authors

Kohei Harada¹, Yasser Helmy Mohamed¹, Masafumi Uematsu¹, Daisuke Inoue¹, Ryotaro Ueki¹, Shiori Harada¹, Naoki Imamura¹, Inamoto Miwako², Takashi Kitaoka¹

Affiliations

¹ Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
² Department of Ophthalmology, National Hospital Organization Nagasaki Medical Center, 2-1001-1 Kubara, Omura, Nagasaki 856-0835, Japan.

Abstract

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: Autoimmune disease; Corneal melt; Corneal perforation; Dry eye; Nonsteroidal anti-inflammatory drugs.

Publication types

Case Reports