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Filamentary keratopathy caused by corneal occlusion by large-angle paralytic strabismus
1Ophthalmology Department, Akdeniz University Medical Faculty, Antalya, Turkey. drmustafaun@hotmail.com
Purpose:
To report a case of filamentary keratopathy in a patient with large-angle paralytic strabismus.
Methods:
A 31-year-old man who had a traffic accident was diagnosed to have third cranial nerve palsy and a large-angle exotropia in his right eye. The patient complained of foreign body sensation in his right eye 2 months after the accident.
Results:
Slit-lamp examination showed multiple filaments on the right cornea. Debridement of the filaments and artificial tears relieved the symptoms and were used until the paralysis resolved.
Conclusion:
Large-angle paralytic strabismus with ptosis and poor elevation and depression of the eye may occlude the cornea and lead to filamentary keratopathy.
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