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Visual impairment due to bilateral corneal endothelial failure following simultaneous bilateral cataract surgery
  1. Birmingham and Midland Eye Centre, Dudley Road, Birmingham B18 7QU
  1. Ajai K Tyagi.

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Editor,—Although present day cataract surgery has a high success rate, simultaneous bilateral cataract surgery is not routinely performed.1 The main cause for concern in patients undergoing simultaneous bilateral surgery is the possibility of visual impairment due to serious complications affecting both eyes. The potential problem that is most frequently highlighted in the literature is the risk of bilateral endophthalmitis.1 2We report a case of bilateral poor vision following simultaneous bilateral phacoemulsification and intraocular lens implant due to secondary corneal endothelial failure. To our knowledge this has not been previously reported.


A 76 year old white woman was referred to our cornea clinic with complaint of poor vision. She had undergone an uncomplicated simultaneous bilateral phacoemulsification with posterior …

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