post-traumatic localized corneal edema: case report
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Post-Traumatic Localized Corneal Edema: Case Report. Tatiana C. Franco, MD Nathalie M. Guibord, MD Geisinger Medical Center Authors have no financial interest. Purpose/Objective:. - PowerPoint PPT PresentationTRANSCRIPT
Post-Traumatic Localized Post-Traumatic Localized Corneal Edema: Case Corneal Edema: Case
ReportReportTatiana C. Franco, MDTatiana C. Franco, MDNathalie M. Guibord, MDNathalie M. Guibord, MD
Geisinger Medical CenterGeisinger Medical CenterAuthors have no financial interestAuthors have no financial interest
Purpose/Objective:Purpose/Objective:
To report a case of post-traumatic To report a case of post-traumatic localized corneal edema due to an localized corneal edema due to an inadvertent foreign body in the inadvertent foreign body in the anterior chamber. anterior chamber.
Materials/Methods:Materials/Methods:
Case Report Case Report
HistoryHistory A 43-year-old man A 43-year-old man Went to ER complaining of blurriness, Went to ER complaining of blurriness,
pain and photophobia 1 day after a pain and photophobia 1 day after a rock hit his left eye. rock hit his left eye.
Treated as corneal abrasion by the Treated as corneal abrasion by the ER staffER staff
HistoryHistory 2 months later: no improvement2 months later: no improvement
– Referred to ophthalmologyReferred to ophthalmology Eye exam: mild iritis and central Eye exam: mild iritis and central
corneal scar. corneal scar. Treated with topical prednisoloneTreated with topical prednisolone Symptoms improved and Symptoms improved and
inflammation resolvedinflammation resolved
HistoryHistory Patient returned 20 months post-injury complaining Patient returned 20 months post-injury complaining
of blurry vision, red and painful eyeof blurry vision, red and painful eye Worsened VAWorsened VA:: from 20/25 to 20/60 in the injured from 20/25 to 20/60 in the injured
eyeeye Iritis (mild)Iritis (mild) Inferior corneal edema surrounding old scarInferior corneal edema surrounding old scar Pachymetry (microns):Pachymetry (microns):
– central 639 , paracentral 950 and peripheral 983central 639 , paracentral 950 and peripheral 983
Figure 1. Presentation 20 months post injury showingcorneal scar with localized inferior edema.
Figure 2Figure 2. Gonioscopy showing foreign body . Gonioscopy showing foreign body at 6 o'clock position.at 6 o'clock position.
ManagementManagement
anterior chamber washout anterior chamber washout
Figure 3. Resolution of corneal edema
Pre-operative Post-operative
Post-AC Washout Endothelial Post-AC Washout Endothelial Cell Count and PachymetryCell Count and Pachymetry
Cell countCell count PachymetrPachymetr
yy– Central: Central:
607607
ConclusionConclusion
This case shows that gonioscopy is This case shows that gonioscopy is highly valuable in the thorough highly valuable in the thorough evaluation of certain eye injuriesevaluation of certain eye injuries– Especially in those cases where a Especially in those cases where a
foreign body is suspected. foreign body is suspected.