Astigmatism Research Today is a free monthly online journal that collates and summarizes the latest research about Astigmatism, including details on cornea, retina, treatment, types, signs, tests.

Wound instability and management after cataract surgery in a patient with prior laser in situ keratomileusis.

Cheng CJ, Stark WJ

Johns Hopkins University-Wilmer Eye Institute, Baltimore, Maryland 21287, USA.

We report a case of cataract wound instability and subsequent management after cataract surgery in a patient who had had hyperopic laser in situ keratomileusis (LASIK). Standard cataract surgery was performed through a nasal limbal incision. One day postoperatively, the uncorrected visual acuity (UCVA) was 20/20 and the wound was stable. Subsequent examinations revealed overlying corneal edema, cataract wound slippage with corresponding with-the-rule astigmatism, and decreased vision. Separating and resuturing the cataract wound resulted in significant and stable improvement in the UCVA to 20/40. At 18 months, the best corrected visual acuity was 20/20 with a refraction of -3.50 +0.25x155 and keratometry of 44.75/45.00@155. Understanding wound stability and its management in cataract surgery in patients with prior LASIK refractive surgery will become increasingly important as more of these patients present.

Published 25 June 2007 in J Cataract Refract Surg, 33(7): 1315-7.
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