Corneal surgery for severe phacoemulsification burns.

Abstract

To evaluate the outcome of corneal surgery for the treatment of severe corneal phacoemulsification burns. Interventional case series. Four patients with severe intraoperative phacoemulsification burns. One patient underwent penetrating keratoplasty and 3 underwent lamellar keratoplasties for the treatment of their corneal burns. Preoperative and postoperative visual acuities, preoperative and postoperative corneal topographies, and clinical observation. The visual acuity (VA) after the phacoemulsification burn was counting fingers in all patients. One patient had a penetrating keratoplasty, whereas the other 3 had lamellar grafts. After the corneal surgery, the corrected postoperative VA was 20/30 to 20/50 in all patients, with astigmatism ranging from 2.5 to 5.5 diopters. Severe phacoemulsification burns can be safely treated with corneal surgery, with acceptable postoperative visual acuities.