Acquired anterior staphyloma after corneal ulcer associated with the use of crack

ABSTRACT We describe an unusual case of acquired anterior staphyloma in a patient addicted to crack cocaine. At the beginning of his crack cocaine abuse, he noticed redness and irritation of his eyes. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye (OD). Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. The patient was hospitalized to ensure compliance with the prescribed treatment and was advised to undergo therapeutic keratoplasty; however, the patient left the hospital against medical advice and was lost to follow-up for the next 6 months. He returned with complaints of photophobia and the inability to close his right eyelids. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Following surgery, the patient was again lost to follow-up.

Saved in:
Bibliographic Details
Main Authors: Vasconcelos,Stefânia Barbosa Diniz de, Guerra,Fernanda Machado, Morato,Gisele Macioca, Neves,Nathália Teles das, Tzelikis,Patrick Frensel
Format: Digital revista
Language:English
Published: Conselho Brasileiro de Oftalmologia 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400268
Tags: Add Tag
No Tags, Be the first to tag this record!