Lateral tarsorrhaphy for prevention of postoperative complications resulting from globe luxation.
We present a case of spontaneous globe luxation and wound dehiscence that developed in a patient with proptosis 1 day after phacoemulsification with posterior chamber intraocular lens implantation. The wound was repaired and a lateral tarsorrhaphy was performed with successful prevention of further luxations. Upon cataract extraction in the patient's other eye, lateral tarsorrhaphy was performed concurrently to prevent operative complications. This report underscores the importance of lateral tarsorrhaphy performed at the time of cataract surgery to avoid postoperative globe luxation with possible wound dehiscence in patients with proptosis or shallow orbits and a history of luxation.
Johnson
Sandra M
SM
Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA. smjpds@hotmail.com
Vestal
Rhonda Y
RY
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects; D005094:Exophthalmos / Q000209:etiology / Q000517:prevention & control*; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control*; D013537:Sutures