2006, Number 2
Hemorragia expulsiva espontánea tras perforación corneal: queratoplastia. Caso clínico
Pérez-Salvador GE, Piñón MR, Pérez SJL
Full text
Language: Spanish
References: 9
Page: 93-96
PDF size: 577.69 Kb.
ABSTRACT
Introduction: Fortunately expulsive hemorrhage is an exceptional complication in open-eyeball surgery, and more so in this case in which it takes place spontaneously. There are however certain general risk factors such as being over 60 years old, arteriosclerosis, hypertension, inflammatory and ocular disease such as: glaucoma, corneal ailments and aphakia.Case report: The following case presents most of the mentioned risks: 67 years of age, hyper-tense, male, heart ailment with vascular risk, chronic obstructive pulmonary disease with frequent coughing, aphakia, and glaucoma. The patient also presented a bullous keratopathy, with proliferative vitreous retinopathy and eyesight with perception of light before the episode of expulsive bleeding. The contralateral eye is amaurotic because of an old retina detachment.
An urgent conjunctival epithelium recover was carried out because of the impossibility of end-to-end stitching due to the considerable loss of substance, and because there were no cornea donations available at that time. Even though an evisceration is the habitual treatment in such expulsive bleeding cases, because of the amaurosis in the contralateral eye, the best option was considered to be to maintain the eyeball even without its visual function. A penetrating keratoplasty was therefore carried out for tectonic purposes three days later when a cornea donation became available. Now, six months after the operation, the transplant is still transparent, albeit devoid of functionality, while maintaining the eyeball and fulfilling the objectives we had established.
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