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August 1982

Corneal Melting With Intraocular Lenses

Author Affiliations

From the Wills Eye Hospital, Philadelphia. Dr Yang is now at the University of Missouri School of Medicine, Columbia.

Arch Ophthalmol. 1982;100(8):1272-1274. doi:10.1001/archopht.1982.01030040250008

• Five patients with collagen vascular disease and keratoconjunctivitis sicca underwent cataract surgery and implantation of intraocular lenses. Postoperative development of corneal melting may have been potentiated by the use of topical 0.1% dexamethasone sodium phosphate alcohol and neomycin sulfate. Permanent visual loss occurred in two patients. Implant removal was necessary in two eyes. Medical management consisted of discontinuance of administration of steroids and antibiotics, as well as the addition of tear substitutes, cycloplegics, and pressure patching.