scholarly journals Spontaneous corneal perforation complicating ocular rosacea: Case report

2021 ◽  
pp. 106597
Author(s):  
Omar Nabih ◽  
Hind Hamdani ◽  
Loubna El Maaloum ◽  
Bouchra Allali ◽  
Asmaa El Kettani
Keyword(s):  
Case Report ◽  
Corneal Perforation ◽  
Ocular Rosacea

Corneal perforation during Nd:YAG laser capsulotomy: a case report

2012 ◽  
Vol 33 (1) ◽  
pp. 99-101 ◽  
Author(s):  
Fatih Mehmet Türkcü ◽  
Harun Yüksel ◽  
Kürşat Cingü ◽  
Yasin Çınar ◽  
Mehmet Murat ◽  
...  
Keyword(s):  
Case Report ◽  
Nd:Yag Laser ◽  
Corneal Perforation ◽  
Nd:Yag Laser Capsulotomy

scholarly journals Manajemen Perforasi Kornea Pada Pasien Covid-19

2020 ◽  
Vol 7 (1A) ◽  
pp. 195-202
Author(s):  
Ferdian Yanuar ◽  
Hera Dwi Novita ◽  
Herwindo Dicky
Keyword(s):  
Case Report ◽  
Complete Blood Count ◽  
Virus Disease ◽  
Rapid Test ◽  
World Health ◽  
Corneal Perforation ◽  
Operative Care ◽  
Ancillary Test ◽  
Important Health ◽  
Health Organization

Latar Belakang : COVID-19 merupakan masalah kesehatan yang dinyatakan sebagai pandemi oleh WHO. Beberapa penelitian melaporkan tentang hubungan SARS-CoV-2 dengan kelainan pada mata. Pada era pandemi, pengelolaan pasien sakit mata harus hati-hati untuk mencegah penularan petugas medis. Laporan kasus ini menyajikan pengelolaan perforasi kornea pasien terkonfirmasi COVID-19. Metode : Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan oftalmologi dengan pemeriksaan penunjang lainnya. Laporan Kasus : Perempuan berusia 54 tahun dirujuk dengan keluhan keluar darah pada mata kiri sejak 17 jam sebelum sampai RS. Keluhan batuk atau demam 14 hari sebelumnya disangkal. Pada pemeriksaan oftalmologi didapatkan perforasi kornea mata kiri disertai prolaps isi bola mata (iris, vitreus dan choroid). Pada pemeriksaan penunjang didapatkan foto rontgen thorax normal, rapid test covid-19 reaktif dan hasil positif pada PCR dari swab nasofaring. Seluruh staf medis menggunakan alat pelindung diri (APD) tingkat tiga dalam melakukan pemeriksaan fisik maupun penunjang. Dari hasil anamnesis pemeriksaan fisik dan penunjang, pasien didiagnosis dengan perforasi kornea spontan mata kiri dan terkonfirmasi COVID-19. Pasien direncanakan untuk eviserasi mata kiri dengan anestesi umum dan saat tindakan operator dan seluruh staf ruang operasi menggunakan alat pelindung diri (APD) tingkat tiga. Setelah operasi dilakukan, pasien kemudian dirawat di ruang isolasi khusus COVID-19. Swab nasofaring dilakukan ulang sehari setelah operasi dan keesokan harinya. Dua hari setelah operasi, pasien dipulangkan dan isolasi mandiri di rumah Kesimpulan: Laporan kasus ini menunjukkan manajemen perforasi kornea pada pasien terkonfirmasi COVID-19 yang dilakukan sesuai alur khusus termasuk pada pemeriksaan fisik dan penunjang, penegakkan diagnosis oftalmologi dan COVID-19, prosedur pembedahan dan perawatan pasca operasi. Kata Kunci : SARS-CoV-2, Perforasi Kornea, APD, PCR, Eviscerasi   Introduction: Corona-Virus-Disease-2019 (COVID-19) is an important health problem that was defined as a pandemic by the World Health Organization (WHO). There are few reports on the association of SARS-CoV-2 with ocular abnormalities. In the pandemic era, management of ocular patients should be more careful to prevent transmission to medical staff. This report presenting the management of corneal perforation in confirmed COVID-19 patients. Method: The diagnosis was established based on history taking, physical and ophthalmology examination with other ancillary tests. Case Report : 54-year-old female patient referred with complaints of left eye bleeding since 17 hours ago. This patient never complaint about cough or fever 14 days before admission. From the ancillary test (complete blood count and chest x-ray are within normal limit, reactive rapid test for COVID-19, positive result of PCR nasopharynx).  The patient was diagnosed with spontaneous corneal perforation on the left eye with COVID-19 confirmed. The evisceration procedure with general anesthesia was performed with exceptional precaution. Operator and all operating room staff wear the 3rd level of personal protective equipment (PPE). The surgery was successfully done and the patient then hospitalized in the COVID-19 isolated room. Nasopharynx swab performs the day after surgery and the next day after the first swab. Two days after surgery, the patient was discharged and followed by a self-isolation procedure. Conclusion: This case report presenting corneal perforation management in confirmed COVID-19 patients should be performed under a firm scheme including physical and ophthalmological examinations, ophthalmology and COVID-19 diagnosis enforcement, ancillary test, surgery procedure, post-operative care and also PPE utilization. Keyword : SARS-CoV-2, Corneal Perforation, 3rd level PPE, PCR, Evisceration

Corneal perforation associated with isolated ocular lichen planus: a case report

2020 ◽  
pp. 112067212093208
Author(s):  
Daniela E Gomez-Elizondo ◽  
Mariana Lopez-Martinez ◽  
Raul Eduardo Ruiz-Lozano ◽  
Jorge E Valdez-Garcia ◽  
Julio C Hernandez-Camarena
Keyword(s):  
Case Report ◽  
Lichen Planus ◽  
Dry Eye ◽  
Clinical Signs ◽  
Dry Eye Disease ◽  
Initial Assessment ◽  
Eye Disease ◽  
Bulbar Conjunctiva ◽  
Corneal Perforation ◽  
Clinical Images

Introduction: To report a case of unilateral corneal perforation due to isolated ocular lichen planus. Methods: Interventional case report. Informed consent by the patient was obtained to publish clinical images. A 64-year-old male presented with severe vision loss and a 2-week history of corneal perforation treated with penetrating keratoplasty in the left eye. He had a longstanding diagnosis of severe chronic dry eye disease. On the initial assessment a visual acuity of 20/50 in the RE and HM perception in the left eye were documented. Biomicroscopy revealed subepithelial fibrosis on the tarsal conjunctiva and clinical signs of severe dry eye disease in both eyes. A clear corneal button and a white cataract were observed in the left eye. No other skin or mucosal lesions were observed. Results: An excisional biopsy of the bulbar conjunctiva was performed under topical anesthesia. Direct immunofluorescence analysis revealed a linear deposit of fibrinogen in the basement membrane consistent with ocular lichen planus. Clinical improvement was achieved using aggressive topical lubrication, corneal epithelial regenerators, topical tacrolimus, and immunosuppressive therapy with systemic corticosteroids and cyclophosphamide. Conclusion: Isolated ocular lichen planus is an extremely infrequent presentation of lichen planus often indistinguishable from other cicatricial conjunctivitis. Corneal perforation is a severe complication associated with severe dry eye, not previously reported with ocular lichen planus. An adequate clinical assessment and histopathologic diagnosis are crucial to lead prompt treatment and prevent sight-threatening complications.

Corneal perforation associated with ocular rosacea and neurotrophic keratopathy

2020 ◽  
Vol 2 (1) ◽  
pp. 22
Author(s):  
JulioC Hernandez-Camarena ◽  
Mariana Lopez-Martinez ◽  
DanielaE Gomez-Elizondo ◽  
NallelyR Morales-Mancillas ◽  
JorgeE Valdez-Garcia
Keyword(s):  
Corneal Perforation ◽  
Ocular Rosacea ◽  
Neurotrophic Keratopathy

Corneal perforation due to Acinetobacter junii: a case report

2000 ◽  
Vol 37 (3) ◽  
pp. 215-217 ◽  
Author(s):  
K Prashanth ◽  
M.P.Madhava Ranga ◽  
Vasudev Anand Rao ◽  
Reba Kanungo
Keyword(s):  
Case Report ◽  
Corneal Perforation ◽  
Acinetobacter Junii

Paraneoplastic pemphigus associated with corneal perforation and cutaneous alternariosis: A case report and review of cases treated with rituximab

2011 ◽  
Vol 38 (11) ◽  
pp. 1084-1089 ◽  
Author(s):  
Takashi ANAN ◽  
Fumiaki SHIMIZU ◽  
Yutaka HATANO ◽  
Osamu OKAMOTO ◽  
Kazumoto KATAGIRI ◽  
...  
Keyword(s):  
Case Report ◽  
Corneal Perforation ◽  
Paraneoplastic Pemphigus
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