Articles: PDF OnlyCorneal-scleral melt in association with cataract surgery and intraocular lenses: A report of four casesMamalis, Nick M.D.*; Johnson, Mark D. M.D.; Haines, John M. M.D.; Teske, Michael P. M.D.; Olson, Randall J. M.D.Author Information Department of Ophthalmology and the Intermountain Ocular Research Center, University of Utah School of Medicine, Salt Lake City, Utah. *Reprint requests to Nick Mamalis, M.D., Department of Ophthalmology, University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, Utah 84132. Supported in part by an unrestricted grant from Research to Pevent Blindness, New York Journal of Cataract & Refractive Surgery: January 1990 - Volume 16 - Issue 1 - p 108-115 doi: 10.1016/S0886-3350(13)80884-X Buy Metrics Abstract Four patients with rheumatoid arthritis had cataract extraction with implantation of an intraocular lens (IOL). Postoperatively three patients developed progressive scleromalacia perforans. All three cases required patch grafting of the sclera and two of them developed progressive melting of the sclera and graft. The fourth case involved progressive corneal melting with extrusion of the IOL despite treatment with penetrating keratoplasties. All four cases developed retinal detachments with loss of vision and three of the eyes were subsequently enucleated. We describe each case and discuss the clinicopathologic correlations of this condition. The need for careful evaluation of rheumatoid arthritis patients with cataract surgery and IOL implantation is emphasized. © Williams & Wilkins 1990. All Rights Reserved.