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February 1983

Corneal Melting Syndrome

Arch Ophthalmol. 1983;101(2):303. doi:10.1001/archopht.1983.01040010305024

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To the Editor.  —The article by Yang and Kline published in the August Archives (1982;100:1272-1274) reports corneal melting in five patients after intraocular lens implant surgery in patients with rheumatoid arthritis and keratoconjunctivitis sicca. This article is similar to a report I published on a corneal melting syndrome entitled "Descemetocele After Intraocular Lens Implantation" in the January 1982 Archives (100;72-76).In the report by Yang and Kline, three of the five patients did not respond to patching and artificial tear therapy, and corneal melting progressed despite this treatment. Furthermore, no information was provided regarding the relative activity of the patient's rheumatoid disease concurrent with the corneal melting syndrome. In my reported cases, corneal melting developed in patients who did not have either rheumatoid arthritis or keratoconjunctivitis sicca. Although rheumatoid arthritis and keratoconjunctivitis sicca may have been present in Dr Yang's patients, these factors may not have been causally related to

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