A presenting as Retained Iridocorneal Angle Foreign Body Resembling to Disciform Keratitis A Case Report
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Tarih
2015
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Göz içi yabancı cismin eşlik ettiği penetran oküler travmalar görme kaybı ile sonuçlanabilen ciddi yaralanmalardır. Göz içi yabancı cisimlerin %15 kadarı ön kamarada bulunmaktadır. Bu makalede lokalize kornea ödeminden dolayı diskiform keratit tanısı almış ve ön kamara açısında göz içi yabancı cisim tespit edilen bir olgu tanımlanmıştır. Sol gözünde görme azalması ve kızarıklık şikayeti ile başvuran 55 yaşındaki erkek olguda yapılan ilk muayenede korneanın alt yarısını etkileyen stromal ödem, epitelyal mikrokist ve orta düzeyde ön kamara reaksiyonu izlendi. Yüksek büyütmede yapılan biyomikroskobik muayenede şüpheli korneal tam kat yaralanma alanı görüldü ve gonyoskopik muayene yapılmasına karar verildi. Goldmann üç aynalı lens kullanılarak yapılan gonyoskopik muayenede alt iridokorneal açıda yabancı cisim izlendi. Yabancı cisim cerrahi olarak çıkarıldı. Cerrahiden iki hafta sonra korneal ödemde azalma izlendi.Sebebi belli olmayan kornea ödeminde ön kamarada yabancı cisim ayırıcı tanıda dikkate alınmalıdır.
Penetrating ocular trauma with intraocular foreign body is a serious injury often resulting in vision loss. Anterior chamber foreign bodies account for up to 15% of all intraocular foreign bodies. in this article we report a case of a retained intraocular foreign body at the iridocorneal angle which was misdiagnosed as disciform keratitis due to localized corneal edema. A 55-year-old male applied to our clinic with complaints of decreased vision and redness in his left eye for one month. At the initial examination, stromal edema involving the inferior half of the cornea, epithelial microcysts, and moderate anterior chamber reaction were observed. the appearance of suspicious full thickness corneal wound at high magnification led us to perform gonioscopy. A foreign body located at the inferior iridocorneal angle was observed with Goldmann 3-mirror goniolens. the foreign body was surgically removed and two weeks after surgery corneal edema began to resolve. This interesting case showed that retained intraocular foreign body might reveal itself as non-healing corneal edema and should be kept in mind in the differential diagnosis.
Penetrating ocular trauma with intraocular foreign body is a serious injury often resulting in vision loss. Anterior chamber foreign bodies account for up to 15% of all intraocular foreign bodies. in this article we report a case of a retained intraocular foreign body at the iridocorneal angle which was misdiagnosed as disciform keratitis due to localized corneal edema. A 55-year-old male applied to our clinic with complaints of decreased vision and redness in his left eye for one month. At the initial examination, stromal edema involving the inferior half of the cornea, epithelial microcysts, and moderate anterior chamber reaction were observed. the appearance of suspicious full thickness corneal wound at high magnification led us to perform gonioscopy. A foreign body located at the inferior iridocorneal angle was observed with Goldmann 3-mirror goniolens. the foreign body was surgically removed and two weeks after surgery corneal edema began to resolve. This interesting case showed that retained intraocular foreign body might reveal itself as non-healing corneal edema and should be kept in mind in the differential diagnosis.
Açıklama
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Göz Hastalıkları
Kaynak
Glokom Katarakt
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Cilt
10
Sayı
1
