Post-Traumatic Localized Corneal Edema: Case Report

1
Post-Traumatic Localized Corneal Edema Case
Report

• Tatiana C. Franco, MD
• Nathalie M. Guibord, MD
• Geisinger Medical Center
• Authors have no financial interest

2
Purpose/Objective

• To report a case of post-traumatic localized
  corneal edema due to an inadvertent foreign body
  in the anterior chamber.

3
Materials/Methods

• Case Report

4
History

• A 43-year-old man
• Went to ER complaining of blurriness, pain and
  photophobia 1 day after a rock hit his left eye.
• Treated as corneal abrasion by the ER staff

5
History

• 2 months later no improvement
• Referred to ophthalmology
• Eye exam mild iritis and central corneal scar.
• Treated with topical prednisolone
• Symptoms improved and inflammation resolved

6
History

• Patient returned 20 months post-injury
  complaining of blurry vision, red and painful eye
• Worsened VA from 20/25 to 20/60 in the injured
  eye
• Iritis (mild)
• Inferior corneal edema surrounding old scar
• Pachymetry (microns)
• central 639 , paracentral 950 and peripheral 983

7
Figure 1. Presentation 20 months post injury
showing corneal scar with localized inferior
edema.
8
(No Transcript)
9
Management

• anterior chamber washout

10
Post-operative
Pre-operative
Figure 3. Resolution of corneal edema
11
Post-AC Washout Endothelial Cell Count and
Pachymetry

• Cell count
• Pachymetry
• Central 607

12
Conclusion

• This case shows that gonioscopy is highly
  valuable in the thorough evaluation of certain
  eye injuries
• Especially in those cases where a foreign body is
  suspected.