OBJECTIVE: To evaluate the outcome of corneal surgery for the treatment of severe corneal phacoemulsification burns. DESIGN: Interventional case series. PARTICIPANTS: Four patients with severe intraoperative phacoemulsification burns. INTERVENTION: One patient underwent penetrating keratoplasty and 3 underwent lamellar keratoplasties for the treatment of their corneal burns. MAIN OUTCOME MEASURES: Preoperative and postoperative visual acuities, preoperative and postoperative corneal topographies, and clinical observation. RESULTS: The visual acuity (VA) after the phacoemulsification burn was counting fingers in all patients. One patient had a penetrating keratoplasty, whereas the other 3 had lamellar grafts. After the corneal surgery, the corrected postoperative VA was 20/30 to 20/50 in all patients, with astigmatism ranging from 2.5 to 5.5 diopters. CONCLUSION: Severe phacoemulsification burns can be safely treated with corneal surgery, with acceptable postoperative visual acuities.
OBJECTIVE: To evaluate the outcome of corneal surgery for the treatment of severe corneal phacoemulsification burns. DESIGN: Interventional case series. PARTICIPANTS: Four patients with severe intraoperative phacoemulsification burns. INTERVENTION: One patient underwent penetrating keratoplasty and 3 underwent lamellar keratoplasties for the treatment of their corneal burns. MAIN OUTCOME MEASURES: Preoperative and postoperative visual acuities, preoperative and postoperative corneal topographies, and clinical observation. RESULTS: The visual acuity (VA) after the phacoemulsification burn was counting fingers in all patients. One patient had a penetrating keratoplasty, whereas the other 3 had lamellar grafts. After the corneal surgery, the corrected postoperative VA was 20/30 to 20/50 in all patients, with astigmatism ranging from 2.5 to 5.5 diopters. CONCLUSION: Severe phacoemulsification burns can be safely treated with corneal surgery, with acceptable postoperative visual acuities.