The treatment of persistent wound leak after radial keratotomy.
BACKGROUND
Macroperforation of the cornea during refractive keratotomy can result in persistent wound leak and may need treatment by suturing.


METHODS
We describe two eyes that developed a macroperforation during radial keratotomy with persistent leakage of aqueous. The wounds were sutured with 10-0 and 11-0 nylon sutures.


RESULTS
The sutures induced irregular astigmatism as shown by corneal topography. Removal of sutures improved the topography and led to an acceptable outcome.


CONCLUSIONS
Macroperforations with persistent aqueous leaks should be sutured. Suture removal within a few weeks after surgery can avoid persistent irregular astigmatism and lead to a good refractive result.
MacRae
S
S
Department of Ophthalmology, Oregon Health Sciences University, Portland 97201-4197.
Cox
W
W
Bedrossian
R
R
Rich
L F
LF
D000328:Adult; D001082:Aqueous Humor / Q000378:metabolism; D001251:Astigmatism / Q000209:etiology; D065306:Corneal Injuries; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007646:Keratotomy, Radial / Q000009:adverse effects*; D011183:Postoperative Complications; D013536:Suture Techniques / Q000009:adverse effects*; D014792:Visual Acuity