Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
| Autor: | Steven M Christiansen, Rachel G Simpson, Amir Hossein Vejdani, Jason N Edmonds, Majid Moshirfar, Hamid Khakshoor, Hamid Gharaee, Nicholas L Behunin |
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| Rok vydání: | 2012 |
| Předmět: |
anesthetic abuse
medicine.medical_specialty Visual acuity Corneal Haze genetic structures Tetracaine business.industry Case Report Hypopyon eye diseases Corneal ulceration Surgery Ophthalmology medicine.anatomical_structure corneal damage Cornea Prednisolone Medicine sense organs corneal ulceration Differential diagnosis medicine.symptom business medicine.drug |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 |
| DOI: | 10.2147/opth.s36611 |
| Popis: | This observational case report describes the development of bilateral Mooren-like ulcers in a patient with anesthetic keratopathy. A 42-year-old man with a recent history of minor eye trauma and pain self-treated with tetracaine eye drops presented with complaints of acutely worsening vision and severe pain bilaterally. His visual acuity at presentation was limited to hand motion. Slit-lamp examination revealed bilateral epithelial defects at the center of the cornea, and an area of stromal infiltration and thinning with an undermining leading edge resembling a Mooren's ulcer in both eyes. Corneal haze and hypopyon were visible. Anesthetic use was halted immediately and the patient was started on prednisolone and mycophenolate mofetil (Cellcept(®)), after which visual acuity gradually improved and pain decreased. Despite improvement of symptoms, residual epithelial defects remained, and the patient was ultimately treated with keratoplasty for recovery of vision. We suggest that anesthetic keratopathy should be included in the differential diagnosis for any patient presenting with ring-shaped stromal infiltrates or nonhealing epithelial defects. |
| Databáze: | OpenAIRE |
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