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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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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. |
format | Online Article Text |
id | pubmed-4141454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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