Muceniece Liene, Markevica Inesa, Laganovska Guna
Ophthalmology Department, Pauls Stradins Clinical University Hospital, Riga, Latvia.
Department of Ophthalmology, Riga Stradins University, Riga, Latvia.
Case Rep Ophthalmol. 2020 Jul 13;11(2):330-335. doi: 10.1159/000508816. eCollection 2020 May-Aug.
Keratitis treatment outcome is usually dependent on the targeted treatment of the cause. We want to present a small corneal ulcer of unidentified origin that progressed into corneal melting and resulted in corneal perforation. The patient had a widespread antibacterial and fungal treatment and an ophthalmological follow-up with slit-lamp examination and AS-OCT. The spontaneous iris plug in the cornea helped to solve the anterior chamber collapse and made permanent anatomical changes in the anterior part. A 45-week follow-up found a hyperdense stromal corneal scar with 556-µm-wide stable iris-cornea contact and BCVA of 0.8. As a result, an iris plug in the cornea after corneal perforation can have a positive effect on healing and lead to good visual outcome.
角膜炎的治疗结果通常取决于针对病因的治疗。我们想呈现一例病因不明的小角膜溃疡，其进展为角膜溶解并导致角膜穿孔。该患者接受了广泛的抗菌和抗真菌治疗，并通过裂隙灯检查和AS-OCT进行眼科随访。角膜内自发形成的虹膜堵塞有助于解决前房塌陷问题，并使前部发生永久性解剖学改变。45周的随访发现角膜基质有高密度瘢痕，虹膜与角膜接触稳定，宽度为556微米，最佳矫正视力为0.8。因此，角膜穿孔后角膜内的虹膜堵塞对愈合可能有积极影响，并能带来良好的视觉效果。
