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Published on: July 10, 2018
Spontaneous corneal perforation complicating ocular rosacea: Case report
Omar Nabih1, Hind Hamdani1, Loubna El Maaloum1
1Pediatric Ophthalmology Department, Hôpital 20 Août 1953, Casablanca, Morocco.
Insights
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.
Introduction:
Ocular rosacea is a multifactorial disease. Its pathophysiology remains unclear. The ocular manifestations of rosacea are not specific and can range from simple blepharoconjunctivitis to sight-threatening such as corneal perforation.
Case Report:
We report the case of a 10-year-old child who presented with a red painful right eye. Based on the clinical findings, we concluded that she had a corneal perforation on ocular rosacea. She benefited from an ipsilateral lamellar autokeratoplasty by lamellar autograft. The evolution was marked by a good healing and a good visual recovery despite a corneal scar.
Discussion:
Ocular rosacea is a multifactorial disease, with an unclear physiopathology. Corneal involvement remains the least common, but the most challenging since serious complications can occur. Corneal perforation is the most severe. Several techniques have been reported and used in the management of corneal perforations such as conjunctival flap, amniotic membrane grafting, and the use of a corneal patch. The later, corneal autografting, remains a simple and effective technique with satisfactory anatomical results.
Conclusion:
Ocular rosacea is a pathology that is still poorly understood and of delayed diagnosis. It can lead to serious vision-threatening complications such as corneal perforation. The corneal patch is a simple, effective and efficient technique that has given good results in our case.
