Corneal melt in lattice corneal dystrophy type II after cataract surgery.

Abstract

We report a patient with lattice corneal dystrophy type II, also known as Meretoja syndrome or familial amyloidosis Finnish type, who developed a corneal melt 15 days after uneventful phacoemulsification. Despite conservative treatment, the corneal melt resulted in perforation. Uneventful penetrating keratoplasty was performed, but delayed graft epithelial healing was noticed postoperatively. Corneal button histopathological evaluation confirmed the initial clinical diagnosis. To our knowledge, this is the first reported case of corneal melt and perforation in a patient with lattice corneal dystrophy type II.

• Authors: Miltiadis Papathanassiou, Vasilios S Liarakos, Emmanuel Vaikousis, Thrasivoulos Paschalidis, George Agrogiannis, Ioannis Vergados
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 35 Issue 1 Pg. 185-9 (Jan 2009) ISSN: 0886-3350 [Print] United States
• PMID: 19101443 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Amyloidosis, Familial (complications, diagnosis)
• Corneal Diseases (diagnosis, etiology, surgery)
• Corneal Dystrophies, Hereditary (complications, diagnosis)
• Epithelium, Corneal (pathology)
• Humans
• Keratoplasty, Penetrating
• Kidney Diseases (complications, diagnosis)
• Male
• Phacoemulsification
• Postoperative Complications
• Rupture, Spontaneous
• Syndrome
• Wound Healing