Reversible cataract after exposure to distilled water: a case report

To report a case of a reversible cataract after intracameral infusion of distilled water during full-thickness astigmatic keratotomy. A 20-year-old male whose bilateral anterior chambers were exposed to distilled water during astigmatic keratotomy developed bilateral corneal edema, inflammation of t...

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Bibliographic Details
Published in:BMC ophthalmology 2018-07, Vol.18 (1), p.180-180, Article 180
Main Authors: Yang, Young Hoon, Kim, Bu Ki, Mun, Su Joung, Choi, Hyun Tae, Chung, Young Taek
Format: Article
Language:English
Subjects:
Acetic acid
Acuity
Anterior subcapsular cataract
Astigmatism
Case Report
Case reports
Cataracts
Cell density
Cornea
Diabetes
Distilled water
Edema
Endothelial cells
Eye
Eye surgery
Full-thickness astigmatic keratotomy
Health aspects
Inflammation
Ophthalmology
Prednisolone
Radial keratotomy
Reversible cataract
Risk factors
SMILE
Sodium chloride
Surgery
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Summary:To report a case of a reversible cataract after intracameral infusion of distilled water during full-thickness astigmatic keratotomy. A 20-year-old male whose bilateral anterior chambers were exposed to distilled water during astigmatic keratotomy developed bilateral corneal edema, inflammation of the anterior chambers, and an anterior subcapsular cataract in the right eye. After 1 month of topical administration of 0.1% prednisolone acetate and 5% NaCl, the bilateral inflammation of the cornea and anterior chambers cleared; endothelial cell density decreased by 41.1% in the right eye and 12.7% in the left eye. The cataract in the right eye decreased centripetally. Small incision lenticule extraction surgery was performed at 2 months after the astigmatic keratotomy; the patient's uncorrected distance visual acuity 3 months later was 20/25 in both eyes. This case suggests that a cataract that develops as a result of instantaneous intracameral exposure to distilled water is reversible.
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-018-0810-6