Corneal Toxicity and Inflammation Secondary to Retained Perfluorodecalin - 18/08/11
: FRCS(Ed), James McKenzie, MRCPath b
Inquiries to Augusto Azuara-Blanco, PhD, FRCS(Ed),The Eye Clinic, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN United Kingdom; fax: 44-1224849156Résumé |
Purpose |
To describe a case with bullous keratopathy and anterior segment inflammation associated with heavy liquids.
Design |
Observational case report.
Methods |
Review of clinical and histopathologic changes.
Results |
A 65-year-old patient underwent a pars plana vitrectomy for a rhegmatogenous retinal detachment. Perfluorodecalin was used as a temporary retinal tamponade. After surgery, bubbles of heavy liquid were noted in the anterior chamber. Fifteen months later, severe corneal edema developed, associated with corneal vascularization and keratic precipitates. Removal of heavy liquid through a paracentesis was attempted but the cornea remained edematous, and a penetrating keratoplasty was performed. In the histopathologic examination inflammatory changes from retention of perfluorodecalin were observed. There was a decompensated cornea with florid bullous keratopathy, inflammatory infiltration with vascularization, and deposition of perfluorodecalin within keratocytes and perivascular macrophages.
Conclusion |
Presence of heavy liquids in the anterior chamber may be associated with an intense inflammatory response and corneal decompensation.
Le texte complet de cet article est disponible en PDF.
Vol 140 - N° 2
P. 322-323 - août 2005 Retour au numéro
Article précédent
- Selective Staining of the Internal Limiting Membrane Using the Sequential Intraoperative Instillation of Whole Blood Followed by Indocyanine Green Dye
- Chi-Chun Lai, Wei-Chi Wu, Lan-Hsin Chuang, Ling Yeung, Jiahn-Shing Lee, Tun-Lu Chen
- Ciliary Body Thickness Increases With Increasing Axial Myopia
- Cristiano Oliveira, Celso Tello, Jeffrey M. Liebmann, Robert Ritch
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?