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Clinical course of phacoemulsification wound burns

1999; Lippincott Williams & Wilkins; Volume: 25; Issue: 5 Linguagem: Inglês

10.1016/s0886-3350(99)00021-8

1873-4502

Alan Sugar, Robert M. Schertzer,

Ocular Disorders and Treatments

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.