A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye

Dry eye is a common problem affecting mainly the adult population. In severe cases, it can result in sterile corneal ulcer and perforation. We report a rare case of a 26-year-old male, a known patient of severe dry eye who presented with sterile corneal ulcer with corneal perforation in both the e...

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Main Authors: JYOTI DESWAL, SUDESH KUMAR ARYA, AMIT RAJ, ANUBHA BHATTI
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9645/24149_CE[Ra]_F(Sh)_PF1(RB_PY)_PFA(SS)_PF2(NE_AD_SS).pdf
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author JYOTI DESWAL
SUDESH KUMAR ARYA
AMIT RAJ
ANUBHA BHATTI
author_facet JYOTI DESWAL
SUDESH KUMAR ARYA
AMIT RAJ
ANUBHA BHATTI
author_sort JYOTI DESWAL
collection DOAJ
description Dry eye is a common problem affecting mainly the adult population. In severe cases, it can result in sterile corneal ulcer and perforation. We report a rare case of a 26-year-old male, a known patient of severe dry eye who presented with sterile corneal ulcer with corneal perforation in both the eyes. The patient was managed by applying cyanoacrylate glue and bandage contact lens in both eyes and topical antibiotic, topical cyclosporine and preservative free artificial tears at two hourly intervals. The patient was investigated for the systemic cause of severe dry eye but no cause could be ascertained. On follow up, the patient reported marked relief in photophobia. On examination, both eyes showed sealed perforation with well formed anterior chamber. In conclusion, one should examine a dry eye patient carefully and detect corneal ulcers and perforations in time so as to prevent its sequelae.
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spelling doaj.art-7824fa4b1baf4855a3e00fd67daa20032022-12-22T01:43:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-04-01114ND01ND0210.7860/JCDR/2017/24149.9645A Case of Bilateral Corneal Perforation in a Patient with Severe Dry EyeJYOTI DESWAL0SUDESH KUMAR ARYA1AMIT RAJ2ANUBHA BHATTI3Junior Resident, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.Professor, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.Assistant Professor, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.Senior Resident, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.Dry eye is a common problem affecting mainly the adult population. In severe cases, it can result in sterile corneal ulcer and perforation. We report a rare case of a 26-year-old male, a known patient of severe dry eye who presented with sterile corneal ulcer with corneal perforation in both the eyes. The patient was managed by applying cyanoacrylate glue and bandage contact lens in both eyes and topical antibiotic, topical cyclosporine and preservative free artificial tears at two hourly intervals. The patient was investigated for the systemic cause of severe dry eye but no cause could be ascertained. On follow up, the patient reported marked relief in photophobia. On examination, both eyes showed sealed perforation with well formed anterior chamber. In conclusion, one should examine a dry eye patient carefully and detect corneal ulcers and perforations in time so as to prevent its sequelae.https://jcdr.net/articles/PDF/9645/24149_CE[Ra]_F(Sh)_PF1(RB_PY)_PFA(SS)_PF2(NE_AD_SS).pdfanterior chambercyanoacrylate gluephotophobia
spellingShingle JYOTI DESWAL
SUDESH KUMAR ARYA
AMIT RAJ
ANUBHA BHATTI
A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
Journal of Clinical and Diagnostic Research
anterior chamber
cyanoacrylate glue
photophobia
title A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
title_full A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
title_fullStr A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
title_full_unstemmed A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
title_short A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye
title_sort case of bilateral corneal perforation in a patient with severe dry eye
topic anterior chamber
cyanoacrylate glue
photophobia
url https://jcdr.net/articles/PDF/9645/24149_CE[Ra]_F(Sh)_PF1(RB_PY)_PFA(SS)_PF2(NE_AD_SS).pdf
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