| Autor: |
Caio Brenno Abreu, Bárbara Flores Culau Merlo, Lucas de Abreu e Souza Deseta, Letícia Silveira Meurer, Artur Marin Varandas, Vinícius da Silva Varandas |
| Jazyk: |
English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Revista Brasileira de Oftalmologia, Vol 83 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1982-8551 |
| DOI: |
10.37039/1982.8551.20240044 |
| Popis: |
ABSTRACT The objective of this case report was to share the successful management of severe endophthalmitis, aiming at ocular integrity and visual acuity. A 73-year-old man presented with visual acuity of 20/30 in the right eye and 20/200 in the left eye. On the 21st day postoperatively after phacoemulsification in the left eye, he developed symptoms of endophthalmitis, including ocular discomfort, blurred vision, and whitish discharge. Despite negative cultures, his condition worsened, resulting in corneal perforation on the 31st day. Conjunctival flap and penetrating keratoplasty were performed. Currently, the patient maintains a visual acuity of 20/40 in the left eye, with a healthy graft and no signs of failure. Despite the complications, careful follow-up and timely interventions successfully preserved his vision. The use of conjunctival flap during the inflammatory phase was crucial to maintaining ocular integrity. This underscores the importance of different approaches in complex ocular complications, including alternative strategies for ocular protection during active inflammation. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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