Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Ashraf Al Hussaini
Assiut University, Egypt
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
The author reports a case of post phacoemulsification marginal corneal infiltrate that was successfully managed with oral, subconjunctival and topical corticosteroids. A 64 year old man underwent uneventful phacoemulsification. On postoperative day 1, visual acuity was perception of light with good light projection and examination revealed corneal edema and marginal infiltrate. Vitreous tap and intravitreal and sub-conjunctival injection of antibiotics and dexamethasone were performed. On postoperative day 3, the vitreous tap results came back as negative. A second subconjunctival injection of 2.5 mg dexamethasone was given. Systemic work up failed to reveal an etiology. Oral prednisolone 60 mg/day was started as well hourly predisolone 1% drops during the waking hours. After 1 month there was complete resolution of the infiltrate and the corneal edema. UCVA improved later to 6/9. This report suggest the efficacy of combining oral, subconjunctial and topical corticosteroids in management of post-phacoemulsifation sterile corneal ring infiltrates of an unknown etiology.
Email: ashrafka2@yahoo.com