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Spontaneous corneal perforation complicating ocular rosacea: Case report
Omar Nabih1, Hind Hamdani1, Loubna El Maaloum1
1Pediatric Ophthalmology Department, Hôpital 20 Août 1953, Casablanca, Morocco.
International Journal of Surgery Case Reports
|December 17, 2021
Summary
Ocular rosacea can cause severe eye complications like corneal perforation. Lamellar autokeratoplasty, a corneal graft technique, proved effective in a pediatric case, restoring vision despite scarring.
Area of Science:
- Ophthalmology
- Dermatology
Background:
- Ocular rosacea is a complex condition with unknown causes.
- Ocular manifestations vary, from mild conjunctivitis to sight-threatening corneal perforation.
- Corneal involvement is rare but poses significant challenges.
Purpose of the Study:
- To present a pediatric case of ocular rosacea with corneal perforation.
- To evaluate the efficacy of lamellar autokeratoplasty in managing this severe complication.
Main Methods:
- A 10-year-old child with a red, painful eye was diagnosed with ocular rosacea and corneal perforation.
- The patient underwent ipsilateral lamellar autokeratoplasty using a lamellar autograft.
- Post-operative outcomes were monitored for healing and visual recovery.
Main Results:
- The lamellar autokeratoplasty resulted in good wound healing.
- Satisfactory visual recovery was achieved, despite the development of a corneal scar.
- The corneal graft provided a simple and effective anatomical solution.
Conclusions:
- Ocular rosacea requires further research due to its unclear pathophysiology and diagnostic delays.
- Corneal perforation is the most severe complication, necessitating prompt and effective treatment.
- Lamellar autokeratoplasty is a viable and successful surgical option for corneal perforation in ocular rosacea.
