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Keratoplastia terapéutica para el diámetro grande de la córnea bilateral se funde secundaria a la
Ivan Aaron Cardenas1, Candace Winterton2, Nnana Amakiri1
1Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center and the University of Utah Hospital, Salt Lake City, UT, USA.
Case reports in ophthalmology
|February 11, 2026
Resumen
La queratoconjuntivitis gonocócica grave, una infección ocular rara, puede causar el derretimiento de la córnea. La queratoplastia penetrante urgente salvó con éxito ambos globos en un caso desafiante, lo que demuestra el valor de la intervención quirúrgica agresiva.
Área de la Ciencia:
- Oftalmología Oftalmología.
- Enfermedades infecciosas Enfermedades infecciosas.
- Microbiología Microbiología.
Sus antecedentes:
- La Neisseria gonorrhoeae causa una infección bacteriana común, que afecta principalmente al tracto genitourinario.
- La afectación ocular, queratoconjuntivitis gonocócica, es una complicación rara pero grave que puede conducir a la pérdida de la visión.
- El manejo generalmente implica tratamiento médico, pero la intervención quirúrgica es necesaria para casos graves.
Objetivo del estudio:
- Para reportar un caso de queratoconjuntivitis gonocócica grave con derretimientos bilaterales de la córnea.
- Para resaltar la efectividad de la intervención quirúrgica urgente en el rescate de globos.
- Para enfatizar el papel de la queratoplastia terapéutica en el manejo de la perforación de la córnea asociada al gonococo.
Principales métodos:
- Se detalló un caso de un hombre de 49 años con presentación tardía de queratoconjuntivitis gonocócica.
- El paciente se presentó con fusiones corneales bilaterales de espesor completo y globos colapsados.
- Se realizó una queratoplastia de penetración simultánea bilateral urgente con injerto de membrana amniótica.
Principales resultados:
- La intervención quirúrgica salvó con éxito ambos globos a pesar de la gravedad de la condición.
- En el seguimiento, la agudeza visual fue de 20/150 en el ojo derecho y la percepción de la luz en el ojo izquierdo con un injerto fallido.
- El tratamiento demostró eficacia en el manejo de la fusión y perforación de la córnea asociada al gonococo.
Conclusiones:
- La queratoconjuntivitis gonocócica puede ser una manifestación ocular devastadora.
- La intervención quirúrgica temprana y agresiva, incluida la queratoplastia terapéutica, es crucial para salvar el globo.
- Este caso establece un precedente para el uso de la queratoplastia terapéutica en el derretimiento y la perforación graves de la córnea asociadas con gonococos.
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