As keratorefractive surgical techniques have become more widely used, complications have also become more common. Endophthalmitis following radial keratotomy has been previously reported,1 but endophthalmitis following a Ruiz procedure (trapezoidal keratotomy) has, to our knowledge, not been previously reported. We recently treated a case of endophthalmitis following a Ruiz procedure.
Report of a Case.
—A 44-year-old man had been shot in the right eye at 12 years of age. He subsequently developed a dense cataract, right exotropia measuring 50 prism diopters, and corneal astigmatism measuring 6.00 D. On May 31,1988, he underwent an extracapsular cataract extraction with posterior chamber lens. After a YAG capsulotomy on June 28, his visual acuity improved to 20/20 with correction, but with improved visual acuity the patient noted diplopia.On October 20, 1988, a medial rectus muscle resection and a lateral rectus muscle recession were done on the right eye immediately followed by a
Manka RL, Gast TJ. Endophthalmitis Following Ruiz Procedure. Arch Ophthalmol. 1990;108(1):21. doi:10.1001/archopht.1990.01070030027012