{"id":75417,"date":"2022-01-20T12:33:32","date_gmt":"2022-01-20T12:33:32","guid":{"rendered":"https:\/\/www.atlasrleye.com\/perforation-de-la-cornee-keratopathie-dexposition\/cas-clinique-1\/"},"modified":"2025-09-11T23:41:44","modified_gmt":"2025-09-11T23:41:44","slug":"cas-clinique-1","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/fr\/perforation-de-la-cornee-keratopathie-dexposition\/cas-clinique-1\/","title":{"rendered":"Cas Clinique 1"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbAUTRES CAS CLINIQUES\u00a0\u00bb font_container=\u00a0\u00bbtag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Fatlas%2F%231636632710444-966418f9-f7fa|\u00a0\u00bb][vc_text_separator title=\u00a0\u00bb\u00a0\u00bb i_icon_fontawesome=\u00a0\u00bbfas fa-eye\u00a0\u00bb i_color=\u00a0\u00bbcustom\u00a0\u00bb i_size=\u00a0\u00bblg\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb border_width=\u00a0\u00bb8″ css=\u00a0\u00bb.vc_custom_1637080776101{margin-bottom: -5px !important;}\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb accent_color=\u00a0\u00bb#bababa\u00a0\u00bb i_custom_color=\u00a0\u00bb#bababa\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbPerforation de la Corn\u00e9e – Cas Clinique 1″ font_container=\u00a0\u00bbtag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Fperforation-de-la-cornee-keratopathie-dexposition%2F|title:PERFORATION%20DE%20LA%20CORN%C3%89E%20-%20K%C3%89RATOPATHIE%20D%27EXPOSITION|\u00a0\u00bb]

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Perforation de la corn\u00e9e (OG) secondaire \u00e0 k\u00e9ratopathie d’exposition, comme complication postanesth\u00e9sique d’une chirurgie cardiaque, chez un patient diab\u00e9tique pr\u00e9sentant insuffisance r\u00e9nale et myopie forte.<\/span><\/p>\n

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\"\"AV 3L 20\/70 \u00e0 travers la pupille ectopique r\u00e9alis\u00e9e avec le laser Yag. La perforation corn\u00e9enne a \u00e9t\u00e9 scell\u00e9e avec un fragment rectangulaire scl\u00e9ral (libre) appliqu\u00e9 sur la surface endoth\u00e9liale de la corn\u00e9e, emprisonn\u00e9 dans le limbe. La chambre ant\u00e9rieure a \u00e9t\u00e9 tamponn\u00e9e avec du gaz C3F8 .<\/span><\/p>\n

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\u00c9valuations
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[\/vc_column_text][vc_tta_accordion active_section=\u00a0\u00bb99″ no_fill=\u00a0\u00bbtrue\u00a0\u00bb collapsible_all=\u00a0\u00bbtrue\u00a0\u00bb][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb1\u00e8re \u00c9valuation – 28 05 2014″ tab_id=\u00a0\u00bb1641394922374-47016b7f-6668″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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R\u00e9tinographie Couleur<\/p>\n

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H\u00e9morragie sous-r\u00e9tinienne dans la r\u00e9gion maculaire chez un patient avec myopie maligne qui a rapport\u00e9 perte subite de visi\u00f3n dans l’oiel droite apr\u00e8s man\u0153uvre de Valsalva . MAVC: 6\/10 OG. \u0153il unique.
Les patients atteints de maladies oculaires (anomalies vasculaires r\u00e9tiniennes acquises, maladies vasculaires cong\u00e9nitales de la r\u00e9tine, myopie mod\u00e9r\u00e9e et \u00e9lev\u00e9e) ont un risque accru de r\u00e9tinopathie de Valsalva.
La r\u00e9tinographie, 2 mois apr\u00e8s la pr\u00e9sentation, montre r\u00e9absorption totale de l’h\u00e9morragie. MAVC: 20\/30.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16706,16707,16708″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1708017871538{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb2\u00e8me \u00c9valuation – 04 09 2015″ tab_id=\u00a0\u00bb1642681201892-b393d6c9-8ea1″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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Subluxation de la lentille intraoculaire et du sac capsulaire, 18 mois apr\u00e8s la pr\u00e9sentation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16712,16710,16709,16711″ img_size=\u00a0\u00bb282×206″ css=\u00a0\u00bb.vc_custom_1708017863850{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb3\u00e8me \u00c9valuation – 16 08 2018″ tab_id=\u00a0\u00bb1642681237407-60273916-7fe4″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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K\u00e9ratopathie d’exposition, comme complication postanesth\u00e9sique d’une chirurgie cardiaque.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16713″ img_size=\u00a0\u00bb323×206″ css=\u00a0\u00bb.vc_custom_1708017910702{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb4\u00e8me \u00c9valuation – 10 09 2018″ tab_id=\u00a0\u00bb1642681337120-dc04d407-4bce\u00a0\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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

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D\u00e9collement de la r\u00e9tine, 4 ans apr\u00e8s la 1\u00e8re \u00e9valuation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16714″ img_size=\u00a0\u00bb259×110″ css=\u00a0\u00bb.vc_custom_1708017951301{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb5\u00e8me \u00c9valuation – 28 09 2018″ tab_id=\u00a0\u00bb1642682285901-7d3704fa-e585″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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Bulle de silicone dans la chambre ant\u00e9rieure, 1 semaine apr\u00e8s une chirurgie de d\u00e9collement de r\u00e9tine ; K\u00e9ratopathie d’exposition apr\u00e8s chirurgie cardiaque ; MAVC 20\/50 OG; Infection fongique; Perforation corn\u00e9enne.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16715,16721,16724,16725,16716,16720,16726,16718,16717,16723,16722,16719″ img_size=\u00a0\u00bb282×206″ css=\u00a0\u00bb.vc_custom_1708017985635{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb6\u00e8me \u00c9valuation – postop\u00e9ratoire – 14 11 2018″ tab_id=\u00a0\u00bb1642682383690-e8e71515-372f\u00a0\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

Un jour apr\u00e8s la chirurgie. La perforation corn\u00e9enne a \u00e9t\u00e9 scell\u00e9e avec un fragment rectangulaire scl\u00e9ral (libre) appliqu\u00e9 sur la surface endoth\u00e9liale de la corn\u00e9e, emprisonn\u00e9 dans le limbe. La chambre ant\u00e9rieure a \u00e9t\u00e9 tamponn\u00e9e avec du gaz C3F8 (effet microcomport).\n<\/p><\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16749,16752,16742,16748,16741,16745,16746,16747,16743,16744,16740,16750,16751″ img_size=\u00a0\u00bb282×206″ css=\u00a0\u00bb.vc_custom_1708018070228{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb7\u00e8me \u00c9valuation – 29 04 2019″ tab_id=\u00a0\u00bb1642682482252-af99ddaf-e6d1″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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Pupille ectopique r\u00e9alis\u00e9e avec le laser Yag.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16756,16761,16755,16753,16760,16754,16759,16757″ img_size=\u00a0\u00bb282×206″ css=\u00a0\u00bb.vc_custom_1708018098000{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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Topographie corn\u00e9enne<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16758″ img_size=\u00a0\u00bb273×206″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb8\u00e8me \u00c9valuation – 19 06 2019″ tab_id=\u00a0\u00bb1642682599828-99321073-0acf\u00a0\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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AV 20\/300 \u00e0 travers de pupille ectopique (r\u00e9alis\u00e9e avec le laser Yag) sept mois apr\u00e8s la chirurgie. La perforation corn\u00e9enne a \u00e9t\u00e9 scell\u00e9e avec un fragment rectangulaire scl\u00e9ral (libre) appliqu\u00e9 sur la surface endoth\u00e9liale de la corn\u00e9e, emprisonn\u00e9 dans le limbe. La chambre ant\u00e9rieure a \u00e9t\u00e9 tamponn\u00e9e avec du gaz C3F8 (effet microcomport). Bulle de silicone dans la chambre ant\u00e9rieure.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16764″ img_size=\u00a0\u00bb285×206″ css=\u00a0\u00bb.vc_custom_1708018129229{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text]<\/p>\n

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R\u00e9tinographie Couleur<\/p>\n

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Cavit\u00e9 vitr\u00e9enne tamponn\u00e9e partiellement avec de l’huile de silicone.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Topographie corn\u00e9enne<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16763″ img_size=\u00a0\u00bb273×206″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb9\u00e8me \u00c9valuation – 17 07 2019″ tab_id=\u00a0\u00bb1642682691043-68d73da8-bd19″][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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AV 20\/300 \u00e0 travers la pupille ectopique.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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R\u00e9tinographie Couleur<\/p>\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=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16766″ img_size=\u00a0\u00bb420×110″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb10\u00e8me \u00c9valuation – postop\u00e9ratoire – 26 09 2019″ tab_id=\u00a0\u00bb1642682751868-6145ba74-2bdc\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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L’huile de silicone a \u00e9t\u00e9 retir\u00e9e de la chambre ant\u00e9rieure et du vitr\u00e9. AV: 3L 20\/70, un mois apr\u00e8s la chirurgie.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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R\u00e9tinographie Couleur<\/p>\n

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L’huile de silicone a \u00e9t\u00e9 retir\u00e9e de la chambre ant\u00e9rieure et du vitr\u00e9. AV: 3L 20\/70.<\/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=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb16769″ img_size=\u00a0\u00bb420×110″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb11\u00e8me \u00c9valuation – 18 12 2024″ tab_id=\u00a0\u00bb1738147847727-3ce1e404-3782″][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb.vc_custom_1757632880626{margin-bottom: 10px !important;}\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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MAVC: 20\/400 OG, par iridectomie au laser nasale-sup\u00e9rieure. H\u00e9mi-scl\u00e9rocorn\u00e9e inf\u00e9rieure. Bulle d’huile de silicone dans la chambre ant\u00e9rieure. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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R\u00e9tinographie Couleur<\/p>\n<\/div>\n<\/div>\n

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

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