Conjunctival-corneal melt in association with carotid artery stenosis

Rosalind MK Stewart1, Say Aun Quah1, Dan Q Nguyen2, Stephen B Kaye11Royal Liverpool University Hospital, Liverpool, UK; 2Bristol Eye Hospital, Bristol, UKPurpose: To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis.Methods: Observational case report.Resul...

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Autores principales:	Rosalind MK Stewart, Say Aun Quah, Dan Q Nguyen, Stephen B Kaye
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/16bfd24272f5469588c48ed7884a27aa
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spelling	oai:doaj.org-article:16bfd24272f5469588c48ed7884a27aa2021-12-02T08:54:53ZConjunctival-corneal melt in association with carotid artery stenosis1177-54671177-5483https://doaj.org/article/16bfd24272f5469588c48ed7884a27aa2008-10-01T00:00:00Zhttp://www.dovepress.com/conjunctival-corneal-melt-in-association-with-carotid-artery-stenosis-a2386https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rosalind MK Stewart1, Say Aun Quah1, Dan Q Nguyen2, Stephen B Kaye11Royal Liverpool University Hospital, Liverpool, UK; 2Bristol Eye Hospital, Bristol, UKPurpose: To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis.Methods: Observational case report.Results: A 76-year-old man with a history of bilateral severe carotid artery occlusion and nonarteritic ischemic optic neuropathy developed a spontaneous bulbar conjunctival defect. Despite intensive lubrication, and attempts at surgical closure including an amniotic membrane patch graft, it progressed with subsequent adjacent corneal perforation. Thorough investigations revealed no underlying disease, except markedly delayed episcleral vessel filling on anterior segment fluorescein angiography.Conclusions: Neovascularisation is a known factor in the inhibition of ulceration. In light of the findings in this report, ocular ischemia should be considered as a cause or contributing factor in the differential diagnosis of conjunctival-corneal melt.Keywords: conjunctival melt, corneal melt, ocular ischemia, carotid artery stenosis Rosalind MK StewartSay Aun QuahDan Q NguyenStephen B KayeDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 3, Pp 649-652 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Rosalind MK Stewart Say Aun Quah Dan Q Nguyen Stephen B Kaye Conjunctival-corneal melt in association with carotid artery stenosis
description	Rosalind MK Stewart1, Say Aun Quah1, Dan Q Nguyen2, Stephen B Kaye11Royal Liverpool University Hospital, Liverpool, UK; 2Bristol Eye Hospital, Bristol, UKPurpose: To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis.Methods: Observational case report.Results: A 76-year-old man with a history of bilateral severe carotid artery occlusion and nonarteritic ischemic optic neuropathy developed a spontaneous bulbar conjunctival defect. Despite intensive lubrication, and attempts at surgical closure including an amniotic membrane patch graft, it progressed with subsequent adjacent corneal perforation. Thorough investigations revealed no underlying disease, except markedly delayed episcleral vessel filling on anterior segment fluorescein angiography.Conclusions: Neovascularisation is a known factor in the inhibition of ulceration. In light of the findings in this report, ocular ischemia should be considered as a cause or contributing factor in the differential diagnosis of conjunctival-corneal melt.Keywords: conjunctival melt, corneal melt, ocular ischemia, carotid artery stenosis
format	article
author	Rosalind MK Stewart Say Aun Quah Dan Q Nguyen Stephen B Kaye
author_facet	Rosalind MK Stewart Say Aun Quah Dan Q Nguyen Stephen B Kaye
author_sort	Rosalind MK Stewart
title	Conjunctival-corneal melt in association with carotid artery stenosis
title_short	Conjunctival-corneal melt in association with carotid artery stenosis
title_full	Conjunctival-corneal melt in association with carotid artery stenosis
title_fullStr	Conjunctival-corneal melt in association with carotid artery stenosis
title_full_unstemmed	Conjunctival-corneal melt in association with carotid artery stenosis
title_sort	conjunctival-corneal melt in association with carotid artery stenosis
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/16bfd24272f5469588c48ed7884a27aa
work_keys_str_mv	AT rosalindmkstewart conjunctivalcornealmeltinassociationwithcarotidarterystenosis AT sayaunquah conjunctivalcornealmeltinassociationwithcarotidarterystenosis AT danqnguyen conjunctivalcornealmeltinassociationwithcarotidarterystenosis AT stephenbkaye conjunctivalcornealmeltinassociationwithcarotidarterystenosis
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Conjunctival-corneal melt in association with carotid artery stenosis

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