Trigeminal neuralgia after corneal transplantation – a case report

ABSTRACT Description of a patient with Fuchs endothelial dystrophy submitted to a corneal transplant, performed by Descemet membrane endothelial keratoplasty, which evolved with sudden, paroxysmal pain in the frontotemporal region, postoperatively. Due to the ophthalmologic picture of the patient, t...

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Main Authors: Daniel Oliveira Araújo, Luis Felipe Pohlmann Tabarelli, Luiz Felipe Lynch
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2021-09-01
Series:Revista Brasileira de Oftalmologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400509&tlng=en
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author Daniel Oliveira Araújo
Luis Felipe Pohlmann Tabarelli
Luiz Felipe Lynch
author_facet Daniel Oliveira Araújo
Luis Felipe Pohlmann Tabarelli
Luiz Felipe Lynch
author_sort Daniel Oliveira Araújo
collection DOAJ
description ABSTRACT Description of a patient with Fuchs endothelial dystrophy submitted to a corneal transplant, performed by Descemet membrane endothelial keratoplasty, which evolved with sudden, paroxysmal pain in the frontotemporal region, postoperatively. Due to the ophthalmologic picture of the patient, the attending physician believed in possible rejection of the graft, neglecting the complaint of pain. Even after a successful second transplant, performed due to primary failure, disabling pain persisted and the physician did not manage it. After years of investigation, consulting with several specialists, it was concluded the patient presented trigeminal neuralgia that had not been treated since the surgical procedure. In addition, it led to several psychosocial consequences. Therefore, it is essential to be aware trigeminal neuralgia is a possible outcome of corneal transplantation, and its symptoms should not be neglected by the attending physician, thus contributing to better management for transplanted patients.
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spelling doaj.art-38e14ad64bbf4986855c81b8aca03b9d2022-12-21T19:29:46ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512021-09-0180410.37039/1982.8551.20210027Trigeminal neuralgia after corneal transplantation – a case reportDaniel Oliveira Araújohttps://orcid.org/0000-0002-0108-6294Luis Felipe Pohlmann Tabarellihttps://orcid.org/0000-0002-1115-0157Luiz Felipe Lynchhttps://orcid.org/0000-0003-4278-2322ABSTRACT Description of a patient with Fuchs endothelial dystrophy submitted to a corneal transplant, performed by Descemet membrane endothelial keratoplasty, which evolved with sudden, paroxysmal pain in the frontotemporal region, postoperatively. Due to the ophthalmologic picture of the patient, the attending physician believed in possible rejection of the graft, neglecting the complaint of pain. Even after a successful second transplant, performed due to primary failure, disabling pain persisted and the physician did not manage it. After years of investigation, consulting with several specialists, it was concluded the patient presented trigeminal neuralgia that had not been treated since the surgical procedure. In addition, it led to several psychosocial consequences. Therefore, it is essential to be aware trigeminal neuralgia is a possible outcome of corneal transplantation, and its symptoms should not be neglected by the attending physician, thus contributing to better management for transplanted patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400509&tlng=enCorneal transplantationTrigeminal neuralgiaEye painPain managementMalpractice
spellingShingle Daniel Oliveira Araújo
Luis Felipe Pohlmann Tabarelli
Luiz Felipe Lynch
Trigeminal neuralgia after corneal transplantation – a case report
Revista Brasileira de Oftalmologia
Corneal transplantation
Trigeminal neuralgia
Eye pain
Pain management
Malpractice
title Trigeminal neuralgia after corneal transplantation – a case report
title_full Trigeminal neuralgia after corneal transplantation – a case report
title_fullStr Trigeminal neuralgia after corneal transplantation – a case report
title_full_unstemmed Trigeminal neuralgia after corneal transplantation – a case report
title_short Trigeminal neuralgia after corneal transplantation – a case report
title_sort trigeminal neuralgia after corneal transplantation a case report
topic Corneal transplantation
Trigeminal neuralgia
Eye pain
Pain management
Malpractice
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400509&tlng=en
work_keys_str_mv AT danieloliveiraaraujo trigeminalneuralgiaaftercornealtransplantationacasereport
AT luisfelipepohlmanntabarelli trigeminalneuralgiaaftercornealtransplantationacasereport
AT luizfelipelynch trigeminalneuralgiaaftercornealtransplantationacasereport