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Post-Traumatic Localized Corneal Edema: Case Report

Post-Traumatic Localized Corneal Edema: Case Report. Tatiana C. Franco, MD Nathalie M. Guibord, MD Geisinger Medical Center Authors have no financial interest. Purpose/Objective:.

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Post-Traumatic Localized Corneal Edema: Case Report

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  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. Figure 2. Gonioscopy showing foreign body at 6 o'clock position.

  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.

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