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Subepithelial hemorrhage in chronic pseudophakic bullous keratopathy: a case report

Poster Details

First Author: R.López-Ladrón SPAIN

Co Author(s):    A. Ortueta Olartecoechea   A. Palacios Hipola   D. Ortiz Martin              

Abstract Details

Purpose:

We present the case of an 82-year-old woman who presented a cronic pseudofakic bullous keratopathy in both eyes. The patient complained of a sudden loss of vision affecting her left eye. In the emergency department, during the slit-lamp examination we founded a subepithelial hemorrhage that had reached the center of the cornea and was blocking her vision.

Setting:

Hospital Universitario 12 de Octubre, Madrid, Spain

Methods:

Description of a case report

Results:

Once the location of the hemorrhage was confirmed, corneal de-epithelization was performed under local anesthesia. A remaining thin membrane was holding the hemorrhage. A punction with a 29Gauges needle and drainage with a wet-cell was performed, checking the complete outflow of the blood. When the wash was completed, the patient felt better confirming the recovery of her vision. After the procedure we observed the existence of either superficial and deep stromal corneal neovascularization.

Conclusions:

An advanced cronic pseudophakic bullous keratopathy can lead to the generation of corneal stromal neovasculaization. The appearance of new blood vessels in the cornea may be due to chronic hypoxia, chronic trauma by terapeutic contact lens or chronic inflammation. Any blood pressure increase or Valsalva maneuver can generate a spontaneous bleeding that can be associated with a decreased visual acuity if the blood is located in the pupillary axis.

Financial Disclosure:

NONE

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