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PURPOSE: To report three cases of acute sterile corneal melt after cataract surgery. OBSERVATIONS: Case 1 was a 21-year-old male presenting with a corneal perforation of his right eye at 10 days after cataract surgery. Case 2 was a 67-year-old male who developed a corneal melt in his left eye at 15 days after cataract surgery. Case 3 was a 70-year-old female with a corneal melt of her left eye at 7 days after cataract surgery. None of the cases exhibited any signs of infection. Topical nonsteroidal anti-inflammatory drug use, dry eye, systemic autoimmune diseases, and/or a combination of these were present in patients who developed corneal melt after cataract surgery. CONCLUSIONS AND IMPORTANCE: Corneal melt cases can occur early after cataract surgery, thereby leading to corneal thinning and perforation.
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Harada et al. (2018) studied this question.
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