Images in medicine | Volume 35, Article 34, 07 Feb 2020 | 10.11604/pamj.2020.35.34.14754

Corneal perforation: the most feared complication of corneal abscess

Ihsane Sabrane, Lalla Oufae Cherkaoui

Corresponding author: Ihsane Sabrane, Université Mohammed V Souissi, Service d´Ophtalmologie A de l´Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

Received: 03 Jan 2018 - Accepted: 15 Jan 2018 - Published: 07 Feb 2020

Domain: Ophthalmology

Keywords: Cornea, perforation, hernia

©Ihsane Sabrane et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ihsane Sabrane et al. Corneal perforation: the most feared complication of corneal abscess. Pan African Medical Journal. 2020;35:34. [doi: 10.11604/pamj.2020.35.34.14754]

Available online at: https://www.panafrican-med-journal.com/content/article/35/34/full

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Images in medicine

Corneal perforation: the most feared complication of corneal abscess

Corneal perforation: the most feared complication of corneal abscess

Ihsane Sabrane1,&, Lalla Oufae Cherkaoui1

 

1Université Mohammed V Souissi, Service d'Ophtalmologie A de l'Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

&Corresponding author
Ihsane Sabrane, Université Mohammed V Souissi, Service d'Ophtalmologie A de l'Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

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We report the case of a 60-year-old patient who consults for eye pain after 3-months of trauma to the right eye. The examination finds a visual acuity with light perception, a perforated cornea in the center with hernia of the iris and a corneal halos abscessed all around (A, B). Corneal abscesses are a serious pathology and potentially blinding, their risk factors are multiple: contact lens wear, corneal trauma, dry eye with blepharitis, corneal anesthesia and keratoplasties. The severity factors requiring hospitalization with corneal harvesting and treatment with fortified antibiotic eye drops adapted to the antibiogram are: an abscess 3mm or more long axis, a central location or less than 2mm from the center, an inflammatory reaction of the anterior chamber. Corneal abscesses appearing at a distance from trauma, as the case we describe are often of fungal origin and are generally of very poor prognosis.

 

 

Figure 1: corneal perforation with hernia of the iris: A) front view; B) profile view

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in medicine

Corneal perforation: the most feared complication of corneal abscess

Images in medicine

Corneal perforation: the most feared complication of corneal abscess

Images in medicine

Corneal perforation: the most feared complication of corneal abscess

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Cornea

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Corneal perforation: the most feared complication of corneal abscess