Toxic Corneal Reaction Induced by Distilled Water Infused during Cataract Operation

Purpose: To report a case of toxic corneal reaction induced by accidentally infused distilled water into the anterior chamber during cataract operation. Methods: 67-year-old female patient was admitted due to corneal edema and opacity which had been developed instantly by distilled water infused into anterior chamber during cataract operation at a private eye clinic. Cataract surgery was performed after 1 week, and the patient was treated with 5% NaCl solution and artificial eyedrop. Results: On the sixth month after operation, the corneal edema and opacity were decreased remarkably. Conclusions: When acute corneal edema is developed during cataract operation, the surgeon should stop the procedure and examine all intraocular solutions and irrigation fluids. The prognosis must be estimated after use of hypertonic saline solution at least 6 months.