A Case of Late Spontaneous Post-Radial Keratotomy Corneal Perforation Managed With Specialty Lenses

Eye & Contact Lens
Jonas Van den HeurckCarina Koppen

Abstract

To describe a case of spontaneous wound dehiscence 29 years after radial keratotomy (RK) and to illustrate how specialty contact lenses were used for tectonic support and optic correction. Tertiary referral center for corneal pathology. Case report. In November 2014, a 62-year-old woman presented to the emergency department with a spontaneous corneal perforation in her left eye. Her ocular history was significant only for uncomplicated RK surgery performed in 1985 to correct myopia (-5.50 D) in both eyes. At the slit-lamp pronounced, bullous edema was seen in the inferotemporal quadrant of the left cornea with internal opening of the 3.30- and 5-o'clock positions incisions and severe localized thinning and aqueous leakage at the 5-o'clock position incision. There was no history of trauma. A conservative approach was adopted: application of a standard bandage lens was effective in tamponading the leakage, allowing the anterior chamber to reform; a custom-made soft lens was worn for tectonic support over a period of 4 months. Finally, visual acuity was restored to 20/20-by fitting a scleral lens. Spontaneous corneal perforation is a rare but more dramatic long-term complication after RK. The pivotal role of appropriately fitted s...Continue Reading

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Jun 10, 2015·Current Opinion in Ophthalmology·Amy Parminder, Deborah S Jacobs
Feb 27, 2016·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Esther-Simone VisserAllegonda Van der Lelij

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Citations

Mar 30, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Deborah S JacobsFiona Stapleton

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