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Bilateral corneal edema in an alcoholic male


1 Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan
2 Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan
3 Department of Ophthalmology, Taipei Veterans General Hospital; Faculty of Medicine, National Yang-Ming University School of Medicine; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan
4 Department of Ophthalmology, Taipei Veterans General Hospital; Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan

Correspondence Address:
Chih-Chien Hsu,
No. 201, Sec. 2, Shipai Road, Beitou District, Taipei City 11217
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_50_20

Pseudophakic bullous keratopathy and Fuchs' endothelial dystrophy are the two most common causes of corneal edema after cataract surgery. We report a 61-year-old alcoholic male with bilateral corneal edema that improved after his alcohol abstinence. He had uneventful bilateral cataract surgery 3 years ago and blurred vision in both eyes developed for weeks. As he had no history of endothelial dystrophy, the treatment for viral endotheliitis was used initially yet in vain. We asked him to stop alcohol and adjusted his psychiatric drugs, but he lied about stopping drinking. The corneal edema progressed, and finally, he underwent penetrating keratoplasty in his left eye 1 year later. During hospitalization for surgery, alcohol withdrawal syndrome was noted because he could not drink alcohol in our hospital. After he quit drinking for months, corneal edema in the right eye disappeared. Our case highlights that alcoholism can result in corneal edema, and stopping drinking is necessary in these patients.


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