Iatrogenic cataract after laser-assisted in situ keratomileusis

Kunihiko Nakamura, Hiroko Bissen-Miyajima, Hiroyuki Arai, Ikuko Toda, Yoshiko Hori, Shigeto Shimmura, Kazuo Tsubota

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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. Copyright (C) 1999 Elsevier Science Inc.

Original languageEnglish
Pages (from-to)507-509
Number of pages3
JournalAmerican Journal of Ophthalmology
Volume128
Issue number4
DOIs
Publication statusPublished - 1999

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Corneal Opacity
Laser In Situ Keratomileusis
Cataract
Visual Acuity
Corneal Perforation
Penetrating Keratoplasty
Glaucoma
Endothelium

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Iatrogenic cataract after laser-assisted in situ keratomileusis. / Nakamura, Kunihiko; Bissen-Miyajima, Hiroko; Arai, Hiroyuki; Toda, Ikuko; Hori, Yoshiko; Shimmura, Shigeto; Tsubota, Kazuo.

In: American Journal of Ophthalmology, Vol. 128, No. 4, 1999, p. 507-509.

Research output: Contribution to journalArticle

Nakamura, Kunihiko ; Bissen-Miyajima, Hiroko ; Arai, Hiroyuki ; Toda, Ikuko ; Hori, Yoshiko ; Shimmura, Shigeto ; Tsubota, Kazuo. / Iatrogenic cataract after laser-assisted in situ keratomileusis. In: American Journal of Ophthalmology. 1999 ; Vol. 128, No. 4. pp. 507-509.
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AU - Hori, Yoshiko

AU - Shimmura, Shigeto

AU - Tsubota, Kazuo

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N2 - 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. Copyright (C) 1999 Elsevier Science Inc.

AB - 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. Copyright (C) 1999 Elsevier Science Inc.

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