Magalhaes Otavio de Azevedo, Lima Mauricio C, Golbert Marcelo Blochtein, Klein Luiza Birck, Mörschbächer Ricardo
Setor de Córnea, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil.
Setor de Oculoplástica, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil.
Arq Bras Oftalmol. 2023 Jan-Feb;86(1):68-70. doi: 10.5935/0004-2749.20230004.
This case report describes the clinical characteristics and ophthalmic management of a patient who developed corneal perforation due to severe enophthalmos consistent with "silent brain syndrome." A 27-year-old man with a history of congenital hydrocephalus and ventriculoperitoneal shunt was referred with complaints of "sinking of the eyeballs" and progressively decreasing vision in the left eye. Examination revealed severe bilateral enophthalmos in addition to superonasal corneal perforation with iris prolapse in the left eye. The patient underwent therapeutic keratoplasty the next day. Orbital reconstruction with costochondral graft and shunt revision of the intracranial hypotension were performed the next month to prevent further progression.
本病例报告描述了一名因与“静息脑综合征”相符的严重眼球内陷而发生角膜穿孔患者的临床特征及眼科治疗情况。一名有先天性脑积水和脑室腹腔分流病史的27岁男性因“眼球下陷”及左眼视力逐渐下降前来就诊。检查发现双眼严重眼球内陷，此外左眼鼻上方角膜穿孔伴虹膜脱出。患者于次日接受了治疗性角膜移植术。次月进行了肋软骨移植眼眶重建及颅内低压分流修复术，以防止病情进一步发展。
