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Corneal Perforation associated with "Silent Brain Syndrome"
Otavio de Azevedo Magalhaes1, Mauricio C Lima1, Marcelo Blochtein Golbert2
1Setor de Córnea, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil.
Arquivos Brasileiros De Oftalmologia
|February 16, 2022
Summary
A case report details managing corneal perforation caused by severe enophthalmos, a condition linked to silent brain syndrome. Prompt intervention included therapeutic keratoplasty and orbital reconstruction.
Area of Science:
- Ophthalmology
- Neurology
- Neurosurgery
Background:
- Congenital hydrocephalus and ventriculoperitoneal shunt complications can lead to severe enophthalmos.
- Silent brain syndrome, characterized by intracranial hypotension, may manifest with ocular changes.
Observation:
- A 27-year-old male presented with bilateral "sinking eyeballs" and decreased vision in the left eye.
- Ophthalmic examination revealed severe enophthalmos with superonasal corneal perforation and iris prolapse in the left eye.
Findings:
- The patient underwent immediate therapeutic keratoplasty for the corneal perforation.
- Subsequent orbital reconstruction with a costochondral graft and shunt revision addressed the intracranial hypotension.
Implications:
- This case highlights the critical link between intracranial pressure dynamics and ocular health.
- Early recognition and multidisciplinary management are essential for preventing severe ophthalmic complications in patients with shunt-related issues.
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