Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge

Autor: Nallely Morales-Mancillas, Andres Bustamante-Arias, Juan Homar Paez-Garza, Hector Marines-Sanchez, Alejandro Rodriguez-Garcia
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: The Pan-American Journal of Ophthalmology, Vol 2, Iss 1, Pp 7-7 (2020)
Druh dokumentu: article
ISSN: 2666-4909
DOI: 10.4103/PAJO.PAJO_27_19
Popis: The purpose is to report the ocular complications observed after compound cranial nerve palsies secondary to multiple clivus chordoma resection surgeries. A 38-year-old man was referred to our clinic with diplopia and foreign-body sensation. Examination revealed a right peripheral facial paralysis with paralytic lagophthalmos leading to exposure keratopathy and a right sixth nerve palsy with esotropia. Subsequently, the patient developed a longitudinal fusiform-shaped corneal epithelial defect in the right eye. The corneal sensation was reduced due to a fifth nerve palsy leading to neurotrophic keratopathy. The combination of neurotrophic with exposure keratopathy is one of the worst scenarios for corneal integrity.
Databáze: Directory of Open Access Journals