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Neurotrophic Corneal Ulcer Development Following Cataract Surgery with a Limbal Relaxing Incision
Korean Journal of Ophthalmology ; : 210-213, 2011.
Artículo en Inglés | WPRIM | ID: wpr-153762
ABSTRACT
A 60-year-old man with bilateral corneal opacity underwent cataract extraction surgery involving the use of a limbal relaxing incision in his left eye. He had lower lid ectropion and lagophthalmos in both eyes. Eleven days after the surgery, a slit-lamp examination revealed a neurotrophic corneal ulcer with a punch-out epithelial defect and rolled edges at the center of the pre-existing corneal opacity. The patient was treated with sodium hyaluronate, autologous serum, and oral doxycycline. Six weeks after the surgery an improvement in corneal sensation was observed and the neurotrophic corneal ulcer subsequently healed over the course of one year. In this report, we present a case of neurotrophic keratitis that occurred after performing cataract surgery concurrent with a limbal relaxing incision. As such, we suggest that limbal relaxing incisions should be performed cautiously in patients with causative risk factors for corneal hypesthesia.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Cicatrización de Heridas / Extracción de Catarata / Úlcera de la Córnea / Limbo de la Córnea / Facoemulsificación / Enfermedades de la Córnea / Hipoestesia Tipo de estudio: Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Korean Journal of Ophthalmology Año: 2011 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Procedimientos Quirúrgicos Oftalmológicos / Cicatrización de Heridas / Extracción de Catarata / Úlcera de la Córnea / Limbo de la Córnea / Facoemulsificación / Enfermedades de la Córnea / Hipoestesia Tipo de estudio: Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Korean Journal of Ophthalmology Año: 2011 Tipo del documento: Artículo