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Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema

This is a case report of a symptomatic non-clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar...

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Detalles Bibliográficos
Autores principales: Muideen, Lasisi Akinola, Shiela, Ezeronye Ugochi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141454/
https://www.ncbi.nlm.nih.gov/pubmed/25191102
http://dx.doi.org/10.4103/1117-6806.137311
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author Muideen, Lasisi Akinola
Shiela, Ezeronye Ugochi
author_facet Muideen, Lasisi Akinola
Shiela, Ezeronye Ugochi
author_sort Muideen, Lasisi Akinola
collection PubMed
description This is a case report of a symptomatic non-clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar within five days of feeder vessel cauterization, together with improvement of two psychometric scales in corneal cloudiness on a scale range of 0 to 3, clinical evidence of resolution of corneal edema, and subjective resolution of the patient's symptoms. Cauterization was done under magnification with a ball cautery point warmed in a spirit lamp following topical anesthesia. This intervention may become handy in difficult non-clearing corneal edema and prevent blinding consequences, in a low-resource facility, in selected applicable cases.
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spelling pubmed-41414542014-09-04 Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema Muideen, Lasisi Akinola Shiela, Ezeronye Ugochi Niger J Surg Case Report This is a case report of a symptomatic non-clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar within five days of feeder vessel cauterization, together with improvement of two psychometric scales in corneal cloudiness on a scale range of 0 to 3, clinical evidence of resolution of corneal edema, and subjective resolution of the patient's symptoms. Cauterization was done under magnification with a ball cautery point warmed in a spirit lamp following topical anesthesia. This intervention may become handy in difficult non-clearing corneal edema and prevent blinding consequences, in a low-resource facility, in selected applicable cases. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4141454/ /pubmed/25191102 http://dx.doi.org/10.4103/1117-6806.137311 Text en Copyright: © Nigerian Journal of Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Muideen, Lasisi Akinola
Shiela, Ezeronye Ugochi
Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title_full Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title_fullStr Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title_full_unstemmed Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title_short Vessel Cauterization as a Therapeutic Adjunct in Persistent Disciform Corneal Stromal Edema
title_sort vessel cauterization as a therapeutic adjunct in persistent disciform corneal stromal edema
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141454/
https://www.ncbi.nlm.nih.gov/pubmed/25191102
http://dx.doi.org/10.4103/1117-6806.137311
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