Complicated corneal ulcer. Case report. 2016

Cristina Nicula, and Izabela Szabo
Ophthalmology Clinic, County Emergency Hospital Cluj-Napoca, Romania.

Corneal ulcers are considered an ophthalmologic emergency because of their potential to permanently impair vision or perforate the eye. The therapeutic management includes medical therapy and in case of failure, surgical care such as amniotic membrane transplantation. We present the case of a 76-year-old male, admitted for sudden visual loss in the left eye, associated with ocular pain, tearing, and photophobia. The patient was diagnosed with superficial ulcerative keratitis with hypopyon and acute exogenous anterior uveitis for which he underwent medical treatment, both general and topic, with a good evolution during a month. After a month, the patient presented with the corneal ulcer perforated. Surgery was performed in the left eye by covering the ocular surface with an amniotic membrane using the Motowa's sandwich technique. After one year, the same patient was successfully operated for cataract removal and posterior chamber intraocular lens implantation in the left eye.

UI MeSH Term Description Entries
D007766 Lacrimal Apparatus Diseases Diseases of the LACRIMAL APPARATUS. Epiphora,Apparatus Disease, Lacrimal,Apparatus Diseases, Lacrimal,Disease, Lacrimal Apparatus,Diseases, Lacrimal Apparatus,Epiphoras,Lacrimal Apparatus Disease
D008297 Male Males
D003320 Corneal Ulcer Loss of epithelial tissue from the surface of the cornea due to progressive erosion and necrosis of the tissue; usually caused by bacterial, fungal, or viral infection. Keratitis, Ulcerative,Keratitides, Ulcerative,Ulcer, Corneal,Ulcerative Keratitides,Ulcerative Keratitis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000650 Amnion The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid. Amniotic Membrane,Amnions,Amniotic Membranes,Membrane, Amniotic,Membranes, Amniotic
D014606 Uveitis, Anterior Inflammation of the anterior uvea comprising the iris, angle structures, and the ciliary body. Manifestations of this disorder include ciliary injection, exudation into the anterior chamber, iris changes, and adhesions between the iris and lens (posterior synechiae). Intraocular pressure may be increased or reduced. Anterior Uveitides,Anterior Uveitis,Uveitides, Anterior
D057112 Corneal Perforation A puncture or hole through the CORNEAL STROMA resulting from various diseases or trauma. Corneal Perforations,Perforation, Corneal,Perforations, Corneal
D058447 Eye Pain A dull or sharp painful sensation associated with the outer or inner structures of the eyeball, having different causes. Eye Pains,Pain, Eye,Pains, Eye
D020795 Photophobia Abnormal sensitivity to light. This may occur as a manifestation of EYE DISEASES; MIGRAINE; SUBARACHNOID HEMORRHAGE; MENINGITIS; and other disorders. Photophobia may also occur in association with DEPRESSION and other MENTAL DISORDERS. Light Sensitivity,Light Sensitivities,Photophobias,Sensitivities, Light,Sensitivity, Light

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