{"id":75413,"date":"2022-01-20T12:33:32","date_gmt":"2022-01-20T12:33:32","guid":{"rendered":"https:\/\/www.atlasrleye.com\/corneal-perforation-exposure-keratopathy\/clinical-case-1\/"},"modified":"2025-09-11T23:36:24","modified_gmt":"2025-09-11T23:36:24","slug":"clinical-case-1","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/corneal-perforation-exposure-keratopathy\/clinical-case-1\/","title":{"rendered":"Clinical Case 1"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=”ANOTHER CLINICAL CASES” font_container=”tag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632710444-966418f9-f7fa|”][vc_text_separator title=”” i_icon_fontawesome=”fas fa-eye” i_color=”custom” i_size=”lg” color=”custom” border_width=”8″ css=”.vc_custom_1637080776101{margin-bottom: -5px !important;}” add_icon=”true” accent_color=”#bababa” i_custom_color=”#bababa”][vc_custom_heading text=”Corneal Perforation – Exposure Keratopathy – Clinical case 1″ font_container=”tag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fcorneal-perforation-exposure-keratopathy%2F|title:CORNEAL%20PERFORATION%20-%20EXPOSURE%20KERATOPATHY|”]

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Corneal perforation (LE), secondary to Exposure Keratopathy, was a postanesthetic complication of cardiac surgery, in a diabetic patient with renal insufficiency and high myopia.<\/span><\/p>\n

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\"\"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.<\/span><\/p>\n

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Evaluations
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Colour retinography<\/p>\n

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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.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”16706,16707,16708″ img_size=”251×206″ css=”.vc_custom_1708017871538{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”2nd Evaluation – 04 09 2015″ tab_id=”1642681201892-b393d6c9-8ea1″][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n

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Dislocation of intraocular lens within the capsular bag, eighteen months after presentation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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Exposure Keratopathy after cardiac surgery, due to prolonged exposure of the cornea to the outside environment.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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OCT (B-Scan) longitudinal<\/p>\n

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Descolamento de retina 4 anos ap\u00f3s a 1\u00aa avalia\u00e7\u00e3o.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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Silicone bubble in the anterior chamber, 1 week after retinal detachment surgery; Exposure keratopathy after cardiac surgery; BCVA 20\/50 OS; Fungal infection; Corneal perforation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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 .\n<\/p><\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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Ectopic pupil performed with Yag laser.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Corneal Topography<\/p>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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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.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Colour Retinography<\/p>\n

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Vitreous cavity partially buffered with silicone oil.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Corneal Topography<\/p>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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VA 20\/300 through ectopic pupil.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Colour Retinography<\/p>\n<\/div>\n<\/div>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

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Anterior Segment Photo<\/p>\n

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The silicone oil was removed from anterior chamber and vitreous cavity. VA: 3L 20\/70 one month after surgery.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Colour Retinography<\/p>\n

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The silicone oil was removed from anterior chamber and vitreous cavity. VA: 3L 20\/70, through ectopic pupil.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”16769″ img_size=”420×110″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”11th Evaluation – 18 12 2024″ tab_id=”1738147847727-3ce1e404-3782″][vc_row_inner][vc_column_inner][vc_column_text css=”.vc_custom_1757632880626{margin-bottom: 10px !important;}”]<\/p>\n

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Anterior Segment Photo<\/p>\n

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BCVA: 20\/400 LE, by nasal-superior laser iridectomy. Inferior hemi-sclerocornea. Silicone oil bubble in the anterior chamber. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”114551″ img_size=”285×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”1\/3″][vc_column_text css=”.vc_custom_1741833373056{margin-bottom: 10px !important;}”]<\/p>\n

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Colour retinography<\/p>\n<\/div>\n<\/div>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”114559″ img_size=”251×206″ css=””][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=”ANOTHER CLINICAL CASES” font_container=”tag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632710444-966418f9-f7fa|”][vc_text_separator title=”” i_icon_fontawesome=”fas fa-eye” i_color=”custom” i_size=”lg” color=”custom” border_width=”8″ css=”.vc_custom_1637080776101{margin-bottom: -5px !important;}” add_icon=”true” accent_color=”#bababa” i_custom_color=”#bababa”][vc_custom_heading text=”Corneal Perforation – Exposure Keratopathy – Clinical case 1″ font_container=”tag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fcorneal-perforation-exposure-keratopathy%2F|title:CORNEAL%20PERFORATION%20-%20EXPOSURE%20KERATOPATHY|”][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row gap=”35″ equal_height=”yes”][vc_column width=”1\/2″][vc_row_inner][vc_column_inner width=”1\/2″][vc_single_image image=”16705″ img_size=”medium” alignment=”center” onclick=”link_image”][\/vc_column_inner][vc_column_inner […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":75401,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-75413","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/75413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=75413"}],"version-history":[{"count":29,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/75413\/revisions"}],"predecessor-version":[{"id":119205,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/75413\/revisions\/119205"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/75401"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=75413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}