BACKGROUND Malignant glaucoma,caused by aqueous misdirection,is a challenging postsurgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers.It...BACKGROUND Malignant glaucoma,caused by aqueous misdirection,is a challenging postsurgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers.Its incidence is about 0.6%-4.0%.It can be secondary to filtering surgeries,laser iridotomy,and cataract surgery.Short axial length and a history of angle closure glaucoma are its main risk factors.Here,we report a bilateral malignant glaucoma with bullous keratopathy in the patient’s left eye.CASE SUMMARY We present a case of bilateral malignant glaucoma.The cause of malignant glaucoma for each eye of this patient was different.Hence,the management strategy and selection of surgical methods were also different.However,the normal anterior chamber was ultimately maintained,and maximum visual function was preserved.Even though the left eye received multiple surgeries and corneal endothelial decompensation occurred,the formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.CONCLUSION The formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.展开更多
This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of sev...This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of severe eye pain with redness,tearing and blurring of vision.On examination,his right eye visual acuity was 6/6 and in left eye was hand movement.There was generalized conjunctival hyperemia and cornea showing significant descemet striae.A bee stinger with surrounding infiltration noted at 2 o'clock was associated with striate keratitis.It was deeply seated at the posterior third of cornea stroma near to paracentral area.Pupil was mid-dilated with absence of relative afferent pupillary defect.There was neither hypopyon nor cataract.The posterior segment could not be visualized due to severe corneal edema.However,B-scan ultrasound was normal.Bee stinger was removed under local anaesthesia on the day of presentation.Post-operatively,patient was administered with topical moxifloxacin and topical non steroidal anti-inflammatory drugs.Three weeks later,there was resolution of cornea infiltrate with improvement of striate keratitis and his vision was improved to 1/60.However,cornea edema did not regress but ended up with bullous keratopathy.The patient has undergone descemet-stripping automated endothelial keratoplasty and his vision was improved to 6/9.We recommend early stinger removal to reduce the possible sequelae of bee sting toxicity for better visual outcome.展开更多
基金Supported by The Central Guiding Local Science&Technology Projects,No.Z20221341047The Major Scientific and Technological Project of Sanmenxia 2022,No.2022001007。
文摘BACKGROUND Malignant glaucoma,caused by aqueous misdirection,is a challenging postsurgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers.Its incidence is about 0.6%-4.0%.It can be secondary to filtering surgeries,laser iridotomy,and cataract surgery.Short axial length and a history of angle closure glaucoma are its main risk factors.Here,we report a bilateral malignant glaucoma with bullous keratopathy in the patient’s left eye.CASE SUMMARY We present a case of bilateral malignant glaucoma.The cause of malignant glaucoma for each eye of this patient was different.Hence,the management strategy and selection of surgical methods were also different.However,the normal anterior chamber was ultimately maintained,and maximum visual function was preserved.Even though the left eye received multiple surgeries and corneal endothelial decompensation occurred,the formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.CONCLUSION The formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.
文摘This case report aims to report an uncommon case of bee sting keratopathy with retained stinger.A 55-year-old man presented with left cornea bee sting while gardening two days prior to first visit.He complained of severe eye pain with redness,tearing and blurring of vision.On examination,his right eye visual acuity was 6/6 and in left eye was hand movement.There was generalized conjunctival hyperemia and cornea showing significant descemet striae.A bee stinger with surrounding infiltration noted at 2 o'clock was associated with striate keratitis.It was deeply seated at the posterior third of cornea stroma near to paracentral area.Pupil was mid-dilated with absence of relative afferent pupillary defect.There was neither hypopyon nor cataract.The posterior segment could not be visualized due to severe corneal edema.However,B-scan ultrasound was normal.Bee stinger was removed under local anaesthesia on the day of presentation.Post-operatively,patient was administered with topical moxifloxacin and topical non steroidal anti-inflammatory drugs.Three weeks later,there was resolution of cornea infiltrate with improvement of striate keratitis and his vision was improved to 1/60.However,cornea edema did not regress but ended up with bullous keratopathy.The patient has undergone descemet-stripping automated endothelial keratoplasty and his vision was improved to 6/9.We recommend early stinger removal to reduce the possible sequelae of bee sting toxicity for better visual outcome.
