Abstract:
:The present report describes the clinical course and treatment of a Mooren-like ulcer associated with abuse of topical anesthetics and dexamethasone. A 38-year-old male physician treated himself with lidocaine, tetracaine and dexamethasone (DEX) eye drops for severe pain and decline of vision in both eyes. After six months of treatment, his right cornea exhibited annular melting with full-thickness stromal infiltration at the limbus and central corneal haze. His left cornea was completely melted and exhibited iris prolapse. The patient was treated with topical antibiotics, lubricants and underwent a binocular keratoplasty. The surgery was successful and after eight months the postoperative best-corrected visual acuities were counting fingers in the right eye and light perception in the left eye. In summary, this report documents a severe case of keratopathy presenting as Mooren-like ulcer caused by topical anesthetics and DEX, which were treated via keratoplasty, resulting in useful vision being retained.
journal_name
Exp Ther Medjournal_title
Experimental and therapeutic medicineauthors
Wu H,Hu Y,Shi XR,Xu F,Jiang CY,Huang R,Jia Hdoi
10.3892/etm.2016.3296subject
Has Abstractpub_date
2016-07-01 00:00:00pages
343-346issue
1eissn
1792-0981issn
1792-1015pii
ETM-0-0-3296journal_volume
12pub_type
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