Titre

Occult Spontaneous Ocular Perforation Presenting as Conjunctival Chemosis in a Patient with Marfan's Syndrome.

Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Voulgari, N.
Auteure/Auteur
Giacuzzo, C.
Auteure/Auteur
Schalenbourg, A.
Auteure/Auteur
Kymionis, G.D.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1663-2699
Statut éditorial
Publié
Date de publication
2019
Volume
10
Numéro
3
Première page
344
Dernière page/numéro d’article
348
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: epublish
Résumé
We report a case of occult spontaneous ocular perforation presenting as conjunctival chemosis in a patient with Marfan's syndrome (MFS). A 38-year-old female with MFS presented with bilateral conjunctival chemosis since 6 months. Best-corrected visual acuity was 20/20 in both eyes. On slit-lamp examination, a diffuse conjunctival chemosis was observed in both eyes without any signs of ocular hypotony (decreased visual acuity, low intraocular pressure, shallow anterior chamber, pupil distortion, hypotony maculopathy, and chorioretinal folds). Anterior-segment optical coherence tomography revealed a corneoscleral fistula at the left nasal limbus, without any similar finding in the right eye. A scleral patch was performed at the site of the perforation. At 3 month's follow-up, the left chemosis had regressed, with a stable best-corrected visual acuity in both eyes. However, on ultrasound biomicroscopy, another fistula at the right superior limbus was found, and the patient was referred for treatment with a scleral patch. In conclusion, conjunctival chemosis in a patient with MFS should raise the suspicion of an occult spontaneous ocular perforation.
Sujets

Conjunctival chemosis...

Marfan's syndrome

Occult ocular perfora...

PID Serval
serval:BIB_62A38FBA2C61
DOI
PMID
Permalien
Open Access
Oui
Date de création
2019-12-05T21:53:50.970Z
Date de création dans IRIS
2025-05-20T21:48:00Z
Fichier(s)
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Nom

31762766_BIB_62A38FBA2C61.pdf

Version du manuscrit

published

Licence

https://creativecommons.org/licenses/by-nc/4.0

Taille

347.69 KB

Format

Adobe PDF

PID Serval

serval:BIB_62A38FBA2C61.P001

URN

urn:nbn:ch:serval-BIB_62A38FBA2C612

Somme de contrôle

(MD5):7b520d67401b838f5f72d5295e14b236