ESCRS - P146 - WHEN CROSSLINKING GETS COMPLICATED

WHEN CROSSLINKING GETS COMPLICATED

Published 2022 - 26th ESCRS Winter Meeting

Reference: P146 | Type: Abstracts | DOI: 10.82333/pmz3-g007

Authors: Tania Josalhène Elongo* 1 , Bouchra Allali 1 , Lafia Xavier Amidou Kora 1

1Pediatric ophtalmology,Hôpital 20 août 1953,Casablanca,Morocco

Purpose

Corneal collagen crosslinking is a non-invasive technique that changes the biomechanical properties of the corneal stroma. It helps stop the progression of keratoconus.
This commonly performed surgery is not without risk and can lead to secondary corneal infection.
Corneal collagen crosslinking is a non-invasive technique that changes the biomechanical properties of the corneal stroma. It helps stop the progression of keratoconus.This commonly performed surgery is not without risk and can lead to secondary corneal infection.

Setting

Pediatric ophthalmologic department of hospital 20 aout 1953 of Casablanca in Morocco, university Hassan 2 

Methods

We report the clinical observation of a 32-year-old female patient who presented with a painful right red eye following corneal collagen crosslinking.

Results

32-year-old woman with Down's syndrome, followed for 6 months in our department for progressive bilateral keratoconus as well as allergic conjunctivitis.
She benefited from an epi-off corneal collagen crosslinking in her right eye, which went without incident.
On the 2nd postoperative day, she presented with a painful right red eye with purulent secretions.
On ophthalmologic examination we find three (3) epitheliostromal abscesses each measuring 1.6mm by 1.2mm
A corneal sample was taken, showing a coagulase negative staphylococcus.
The infectious risk factor found is the notion of eye rubbing in a patient who is not very complacent in the follow-up of hygiene rules.
The patient received treatment consisting of antibiotic therapy by injection, eye drops fortified with antibiotics, cycloplegia and then corticosteroid therapy.
The clinical course, two (2) weeks later, is marked by an almost total thinning of the cornea.

Conclusion

Patients who are candidates for crosslinking must benefit from close postoperative medical monitoring in order to be able to detect complications in time and manage them effectively.