Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : ND01 - ND02

A Case of Bilateral Corneal Perforation in a Patient with Severe Dry Eye

Jyoti Deswal, Sudesh Kumar Arya, Amit Raj, Anubha Bhatti

1. Junior Resident, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India. 2. Professor, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India. 3. Assistant Professor, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India. 4. Senior Resident, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.

Correspondence Address :
Dr. Jyoti Deswal,
H.No. 25/10 –A, Jasbir Colony, Near Sheela Bypass, Rohtak-124001, Haryana, India.
E-mail: jyoti_deswal@yahoo.co.in

Abstract

Dry eye is a common problem affecting mainly the adult population. In severe cases, it can result in sterile corneal ulcer and perforation. We report a rare case of a 26-year-old male, a known patient of severe dry eye who presented with sterile corneal ulcer with corneal perforation in both the eyes. The patient was managed by applying cyanoacrylate glue and bandage contact lens in both eyes and topical antibiotic, topical cyclosporine and preservative free artificial tears at two hourly intervals. The patient was investigated for the systemic cause of severe dry eye but no cause could be ascertained. On follow up, the patient reported marked relief in photophobia. On examination, both eyes showed sealed perforation with well formed anterior chamber. In conclusion, one should examine a dry eye patient carefully and detect corneal ulcers and perforations in time so as to prevent its sequelae.

Keywords

Anterior chamber, Cyanoacrylate glue, Photophobia

How to cite this article :

Jyoti Deswal, Sudesh Kumar Arya, Amit Raj, Anubha Bhatti. A CASE OF BILATERAL CORNEAL PERFORATION IN A PATIENT WITH SEVERE DRY EYE. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Apr 25 ]; 11:ND01-ND02. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=ND01-ND02&id=9645

DOI and Others

DOI: 10.7860/JCDR/2017/24149.9645


Date of Submission: Sep 15, 2016
Date of Peer Review: Oct 28, 2016
Date of Acceptance: Jan 04, 2017
Date of Publishing: Apr 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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