Ranjan Abhishek, Senthil Sirisha, Sangwan Virender
Department of Cornea and Anterior Segment Service, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
BMJ Case Rep. 2015 Aug 26;2015:bcr2014209247. doi: 10.1136/bcr-2014-209247.
A 29-year-old woman presented to our clinic 1 month after an accidental chemical burn with concentrated sulfuric acid, involving her entire face including eyes and neck. She received treatment for her ocular and facial burns, and subsequently underwent Boston type 1 keratoprosthesis in her right eye after 1 year. One week postoperatively, she was diagnosed with advanced disc damage, and was started on topical antiglaucoma medication. Visual field testing was only possible at 2 months postoperative, once visual acuity improved. Subsequently, progression of visual field defect was noted on Humphrey visual field 10-2, needing implantation of an Ahmed glaucoma valve in her right eye. Two years after the Boston type 1 keratoprosthesis implantation, the patient's best-corrected visual acuity was stable at 20/100; intraocular pressure was digitally normal with a stable visual field.
一名29岁女性在意外被浓硫酸化学烧伤1个月后前来我院就诊，烧伤累及整个面部，包括眼睛和颈部。她接受了眼部和面部烧伤治疗，1年后右眼接受了波士顿1型角膜移植术。术后1周，她被诊断为晚期视盘损伤，并开始使用局部抗青光眼药物治疗。术后2个月，待视力改善后才进行了视野检查。随后， Humphrey视野10-2检查发现视野缺损进展，右眼需要植入艾哈迈德青光眼引流阀。在植入波士顿1型角膜移植术后两年，患者的最佳矫正视力稳定在20/100；眼压通过指测正常，视野稳定。
