AI Summary & Key Takeaways
AI InsightAlthough corneal perforation generally occur during radial keratotomy, the patients who have radial keratotomy have always risk of perforation due to trauma even after years of operation.
📌 3 Key Takeaways
Abstract
A 24 year-old man admitted to our clinic because of penetration of nail into his left eye. On our examination best corrected visual acuity 10/10 for the right eye and finger count from 50 cm for the left eye were detected. Microscopic examination showed normal findings except scars of radial keratotomy in his right eye. There were conjunctival and corneal edema, scars of corneal radial keratotomy in his left eye. The corneascleral perforation at the 3 o'clock meridian extended through the temporal corneoscleral limbus into the sclera. for about 2 mm. There was hemorrhage in anterior chamber at 3 o'clock position. Crystalline lens was intact and posterior segment was normal. Operation was performed on the patient after evaluation of his cranial X-ray, orbital computed tomography and routine laboratory analysis. Corneoscleral perforation was sutured with 10-0 monoflament nylon. Two months later, his best corrected visual acuity was 10/10. Although corneal perforation generally occur during radial keratotomy, the patients who have radial keratotomy have always risk of perforation due to trauma even after years of operation.
Özet
Yirmi dört yaşında erkek hasta, sol gözüne çivi batması nedeniyle kliniğimize başvurdu. Muayenesinde, düzeltilmiş görme keskinliği sağ gözde 10/10, sol gözde 50 santimetreden parmak sayma düzeyindeydi. Biomikroskobik muayenesinde sağ göz korneasında radial keratotomi skarları dışındaki bulguları doğaldı, sol gözde konjonktiva ve korneada ödem vardı. Korneada radial keratotomi skarları mevcuttu. Saat 3'teki radial keratotomi skarından başlayan ve skar boyunca temporal korneaskleral limbusa ilerleyen, limbusu geçerek 2 mm skleraya uzanan kornea-skleral perforasyon hattı vardı. Saat 3'te ön kamarada hemoraji mevcuttu. Lens saydam ve arka segment doğaldı. Hastanın direkt kafa grafisi, orbita tomografisi ve rutin tetkikleri yapıldıktan sonra opere edildi. Kornea-skleral perforasyon yeri 10-0 monoflaman nylon ile sütüre edildi. Postoperatif 2. ayda düzeltilmiş görme keskinliği 10/10 idi