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.

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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
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spelling oai:scielo:S0004-274920160004002682016-09-05Acquired anterior staphyloma after corneal ulcer associated with the use of crackVasconcelos,Stefânia Barbosa Diniz deGuerra,Fernanda MachadoMorato,Gisele MaciocaNeves,Nathália Teles dasTzelikis,Patrick Frensel Eye infection/etiology Corneal ulcer/complications Crack cocaine/adverse effects 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.info:eu-repo/semantics/openAccessConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.79 n.4 20162016-08-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400268en10.5935/0004-2749.20160076
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countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Vasconcelos,Stefânia Barbosa Diniz de
Guerra,Fernanda Machado
Morato,Gisele Macioca
Neves,Nathália Teles das
Tzelikis,Patrick Frensel
spellingShingle Vasconcelos,Stefânia Barbosa Diniz de
Guerra,Fernanda Machado
Morato,Gisele Macioca
Neves,Nathália Teles das
Tzelikis,Patrick Frensel
Acquired anterior staphyloma after corneal ulcer associated with the use of crack
author_facet Vasconcelos,Stefânia Barbosa Diniz de
Guerra,Fernanda Machado
Morato,Gisele Macioca
Neves,Nathália Teles das
Tzelikis,Patrick Frensel
author_sort Vasconcelos,Stefânia Barbosa Diniz de
title Acquired anterior staphyloma after corneal ulcer associated with the use of crack
title_short Acquired anterior staphyloma after corneal ulcer associated with the use of crack
title_full Acquired anterior staphyloma after corneal ulcer associated with the use of crack
title_fullStr Acquired anterior staphyloma after corneal ulcer associated with the use of crack
title_full_unstemmed Acquired anterior staphyloma after corneal ulcer associated with the use of crack
title_sort acquired anterior staphyloma after corneal ulcer associated with the use of crack
description 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.
publisher Conselho Brasileiro de Oftalmologia
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400268
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