Purpose: This report describes the clinical course of three patients with corneal perforation that occurred after cataract surgery at Juntendo University Hospital.
Case presentation: Case1 was an 82-year-old man with a history of dry eye and a positive result for antinuclear antibody test. Case2 was a 64-year-old woman with a history of rheumatoid arthritis. Case3 was a 60-year-old woman with a history of Sjögren syndrome and a positive result for antinuclear antibody test. Corneal perforation occurred after cataract surgery in all three patients. All patients had underlying ocular surface disease and autoimmune disease. Lamellar keratoplasty was performed, and all patients are progressing well 2 years later, with no additional implantation surgery required.
Conclusion: High-risk patients with underlying ocular surface disease or autoimmune disease require tailored treatment such as postoperative adjustment of eye drops.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 122: 300-305, 2018.