Corneal Perforation associated with "Silent Brain Syndrome".

Autor:	Magalhaes OA; Setor de Córnea, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil., Lima MC; Setor de Córnea, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil., Golbert MB; Setor de Oculoplástica, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil., Klein LB; Setor de Oculoplástica, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil., Mörschbächer R; Setor de Oculoplástica, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos brasileiros de oftalmologia [Arq Bras Oftalmol] 2023 Jan-Feb; Vol. 86 (1), pp. 68-70.
DOI:	10.5935/0004-2749.20230004
Abstrakt:	This case report describes the clinical characteristics and ophthalmic management of a patient who developed corneal perforation due to severe enophthalmos consistent with "silent brain syndrome." A 27-year-old man with a history of congenital hydrocephalus and ventriculoperitoneal shunt was referred with complaints of "sinking of the eyeballs" and progressively decreasing vision in the left eye. Examination revealed severe bilateral enophthalmos in addition to superonasal corneal perforation with iris prolapse in the left eye. The patient underwent therapeutic keratoplasty the next day. Orbital reconstruction with costochondral graft and shunt revision of the intracranial hypotension were performed the next month to prevent further progression.
Databáze:	MEDLINE
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