Corneal perforation (LE), secondary to Exposure Keratopathy, was a postanesthetic complication of cardiac surgery, in a diabetic patient with renal insufficiency and high myopia.
Corneal perforation (LE), secondary to Exposure Keratopathy, was a postanesthetic complication of cardiac surgery, in a diabetic patient with renal insufficiency and high myopia.
VA 3L 20/70 through ectopic pupil performed with Yag laser. The corneal hole was closed with scleral rectangular fragment (free) at the corneal endothelial surface, incarcerated in limbus. The anterior chamber was tamponated with C3F8 gas.
Colour Retinography
A male patient complained of sudden loss of vision at the left eye after Valsalva maneuver – subretinal hemorrhage at macular area. Diabetic with renal insufficiency and hight myopia. BCVA: 6/10 LE. It is the patient only eye.
Patients with ocular pathologies (acquired retinal vascular abnormalities, congenital retinal vascular disease, moderate and high myopia) are at increased risk for Valsalva retinopathy.
Fundus photograph 2 months after presentation, showing total reabsorption of hemorrhage. BCVA: 20/30.
Anterior Segment Photo
Dislocation of intraocular lens within the capsular bag.
Anterior Segment Photo
Exposure Keratopathy after cardiac surgery, due to prolonged exposure of the cornea to the outside environment.
OCT (B-Scan) longitudinal
Retinal detachment, 4 years after the 1st evaluation.
Anterior Segment Photo
A silicone oil bubble in the anterior chamber, 1 week after retinal detachment surgery; Exposure Keratopathy after cardiac surgery; BCVA 20/50 LE; Fungal infection; Corneal perforation.
Anterior Segment Photo
One day after surgery. The corneal hole was closed with free scleral rectangular fragment at the corneal endothelial surface, incarcerated in limbus, and the anterior chamber was tamponated with C3F8 gas .
Two weeks after surgery. Removal of the scleral flap.
The corneal hole was sealed, one month afer surgery.
Anterior Segment Photo
Iridectomy. Ectopic pupil performed with Yag laser.
Corneal Topography
Anterior Segment Photo
VA 20/300 through ectopic pupil, seven months after surgery. The corneal hole was closed with free scleral rectangular fragment at the corneal endothelial surface, incarcerated in limbus, and the anterior chamber was tamponated with C3F8 gas. . Silicone bubble in the anterior chamber.
Colour Retinography
Vitreous cavity partially buffered with silicone oil.
Corneal Topography
Anterior Segment Photo
Colour Retinography
OCT (B-Scan) longitudinal
Anterior Segment Photo
Colour Retinography
The silicone oil was removed from anterior chamber and vitreous cavity. VA: 3L 20/70, through ectopic pupil.
OCT (B-Scan) longitudinal
