A Case of Retained Graphite Anterior Chamber Foreign Body Masquerading as Stromal Keratitis
Korean Journal of Ophthalmology
;
: 128-131, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-210235
ABSTRACT
We report a case of a retained graphite anterior chamber foreign body that was masquerading as stromal keratitis. A 28-year-old male visited with complaints of visual disturbance and hyperemia in his right eye for four weeks. On initial examination, he presented with a stromal edema involving the inferior half of the cornea, epithelial microcysts, and moderate chamber inflammation. Suspecting herpetic stromal keratitis, he was treated with anti-viral and anti-inflammatory agents. One month after the initial visit, anterior chamber inflammation was improved and his visual acuity recovered to 20/20, but subtle corneal edema still remained. On tapering the medication, after three months, a foreign body was incidentally identified in the inferior chamber angle and was surgically removed resulting in complete resolution of corneal edema. The removed foreign body was a fragment of graphite and he subsequently disclosed a trauma with mechanical pencil 12 years earlier. This case showed that the presence of an anterior chamber foreign body should always be considered in the differential diagnosis of idiopathic localized corneal edema.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Procédures de chirurgie ophtalmologique
/
Acuité visuelle
/
Plaies pénétrantes de l'oeil
/
Corps étrangers oculaires
/
Stroma de la cornée
/
Diagnostic différentiel
/
Graphite
/
Kératite
/
Chambre antérieure du bulbe oculaire
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Korean Journal of Ophthalmology
Année:
2011
Type:
Article
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