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Spontaneous corneal perforation with expulsive hemorrhage
1Department of Ophthalmology, Regional Hospital, Aosta, Italy.
Annals of Ophthalmology
|September 1, 1993
Summary
This case report details a rare instance of spontaneous corneal perforation with intraocular content expulsion in an elderly woman. Severe corneal ulceration and hypopyon preceded this catastrophic ocular event, suggesting infectious necrosis.
Area of Science:
- Ophthalmology
- Microbiology
- Pathology
Background:
- Spontaneous corneal perforation with intraocular content expulsion is a rare and severe ocular emergency.
- This event is typically associated with premature infants or adults suffering from severe ocular diseases.
Observation:
- A case of unilateral spontaneous corneal perforation with expulsion of intraocular contents is reported.
- The patient was an elderly woman presenting with a corneal ulcer and hypopyon.
Findings:
- The corneal ulcer likely progressed due to organism-induced necrosis, leading to perforation.
- Rapid anterior chamber decompression followed perforation, resulting in expulsive hemorrhage.
Implications:
- This event highlights the potential for severe outcomes in advanced corneal ulceration.
- Co-existing conditions such as glaucoma, arteriosclerosis, and hypertension may contribute to expulsive hemorrhage in such cases.