Purpose: Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design: A retrospective observational case series with 1 year of follow-up was conducted. Results: All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions: Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. (C) 2000 by the American Academy of Ophthalmology.
|Number of pages||6|
|State||Published - Jan 1 2000|