Nine syndrome in a patient with systemic lupus erythematosus

Abstract

Because intraoperative rupture of RK incisions during clear corneal phacoemulsification is a known complication and was postulated to occur in an eye with deeper incisions that had not completely healed, 10 3 RK scars were sutured intraoperatively before phacoemulsification to prevent further dehiscence and to maintain a closed globe. We describe a unique case of traumatic iris expulsion through a full-thickness dehiscence of an RK scar 30 years after the initial surgery. Although RK has become obsolete, it is important for clinicians to inform patients about the lifelong risk of traumatic globe rupture after minor blunt trauma and to counsel on the use of protective polycarbonate lenses, particularly during high-risk activities.