S. Behl et K. Kothari, Rupture of a radial keratotomy incision after 11 years during clear corneal phacoemulsification, J CAT REF S, 27(7), 2001, pp. 1132-1134
We report a case of rupture of a radial keratotomy (RK) incision that occur
red during clear corneal phacoemulsification 11 years after the initial sur
gery. The RK was done in both eyes for correction of high myopia (>8.0 diop
ters). This was followed by 2 enhancement procedures at 6 month intervals.
The patient presented with diminished vision in both eyes, The diagnosis wa
s nuclear cataract in the right eye, and clear corneal phacoemulsification
was done. The intraoperative and postoperative courses were uneventful. Nin
e months later, clear corneal temporal phacoemulsification was done in the
left eye. During surgery, 1 of the radial incisions opened to one third its
length. The wound was sutured, and the procedure was completed uneventfull
y. One month later, best corrected visual acuity was 20/20. (C) 2001 ASCRS
and ESCRS.