Corneal melt in lattice corneal dystrophy type II after cataract surgery.
We report a patient with lattice corneal dystrophy type II, also known as Meretoja syndrome or familial amyloidosis Finnish type, who developed a corneal melt 15 days after uneventful phacoemulsification. Despite conservative treatment, the corneal melt resulted in perforation. Uneventful penetrating keratoplasty was performed, but delayed graft epithelial healing was noticed postoperatively. Corneal button histopathological evaluation confirmed the initial clinical diagnosis. To our knowledge, this is the first reported case of corneal melt and perforation in a patient with lattice corneal dystrophy type II.
Papathanassiou
Miltiadis
M
2nd Department of Ophthalmology, Attikon University Hospital, 1 Rimini Street, 12667 Athens, Greece. mpapathanassiou@yahoo.com
Liarakos
Vasilios S
VS
Vaikousis
Emmanuel
E
Paschalidis
Thrasivoulos
T
Agrogiannis
George
G
Vergados
Ioannis
I
D000369:Aged, 80 and over; D028226:Amyloidosis, Familial / Q000150:complications* / Q000175:diagnosis; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003317:Corneal Dystrophies, Hereditary / Q000150:complications* / Q000175:diagnosis; D019573:Epithelium, Corneal / Q000473:pathology; D006801:Humans; D015948:Keratoplasty, Penetrating; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis; D008297:Male; D018918:Phacoemulsification; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D013577:Syndrome; D014945:Wound Healing