Corneal Melt After Uneventful Cataract Surgery In a Patient with Crohnʼs Disease

Sharma, Rohit; Maharajan, Senthil

doi:10.1002/ibd.20032

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Even attempting surgery in patients with inactive disease can be dangerous, as the body’s heightened immune response can result in excessive inflammation. In rare cases, ocular surgery has led to disastrous complications including necrotizing keratitis, corneal melt, and hypopyon uveitis [ 4 , 5 , 6 , 7 ]. IBD has also been demonstrated to have a strong association with keratoconus [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Inflammatory Bowel Disease Guidelines for Corneal Refractive Surgery Evaluation

Moshirfar

Fuhriman

Ali

et al. 2022

JCM

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Inflammatory bowel disease (IBD) is a chronic systemic inflammatory condition that can potentially adversely affect surgical outcomes in patients receiving elective ophthalmic procedures. In this case series, 21 eyes of 11 patients with ulcerative colitis or Crohn’s disease underwent laser in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), or small incision lenticule extraction (SMILE). Their surgical outcomes were followed up for an average of 8.9 ± 4.6 months. All the patients in this study did well, with 100% of eyes corrected for distance vision achieving uncorrected distance visual acuity 20/20 by postoperative month three. Common symptoms noted during the postoperative period included dry eyes, irritation, foreign body sensation, and blurry vision, all of which improved in prevalence and severity over the follow-up period, and none of the patients experienced a flare-up of their disease. Despite the successful outcomes in these patients, the authors recognize the inherent risks of operating on patients with IBD. Currently, there are no consensus guidelines for clinicians to follow to ensure that they are adequately screening these patients for eligibility, so the authors are suggesting a relevant, focused review of systems, a brief IBD history-related questionnaire, and a preliminary surgical decision-making flowchart for use in surgical evaluation.

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Section: Discussionmentioning

confidence: 99%

Inflammatory Bowel Disease Guidelines for Corneal Refractive Surgery Evaluation

Moshirfar

Fuhriman

Ali

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…The relative incidence of corneal melt across the wider ophthalmic community following refractive or cataract surgery is difficult, if not impossible, to quantify accurately. Reports in the published literature are often small series or case reports outlining a single incidence . Undoubtedly a large number of episodes also remain unreported.…”

Section: Incidence Of Keratolysis Post‐refractive Surgerymentioning

confidence: 99%

“…There are several reports in the literature of keratolysis following uncomplicated cataract and corneal surgery. Underlying Sjögren's syndrome was diagnosed ultimately in three of the four cases.…”

Section: Aetiologymentioning

confidence: 99%