Anesthetic keratopathy presenting as bilateral Mooren-like ulcers

Anesthetic keratopathy presenting as bilateral Mooren-like ulcers

Hamid Khakshoor,1 Majid Moshirfar,2 Rachel G Simpson,3 Hamid Gharaee,1 Amir H Vejdani,1 Steven M Christiansen,2 Jason N Edmonds,2 Nicholas L Behunin21Mashhad University of Medical Sciences, Department of Ophthalmology, Mashad, Iran; 2John A Moran Eye Center, University of Utah, Salt Lake City, UT, 3...

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Autores principales: Khakshoor H, Moshirfar M, Simpson RG, Gharaee H, Vejdani AH, Christiansen SM, Edmonds JN, Behunin NL
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2012
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/4318a1647e65429c851e7c2f70df28b7
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spelling oai:doaj.org-article:4318a1647e65429c851e7c2f70df28b72021-12-02T07:45:23ZAnesthetic keratopathy presenting as bilateral Mooren-like ulcers1177-54671177-5483https://doaj.org/article/4318a1647e65429c851e7c2f70df28b72012-10-01T00:00:00Zhttp://www.dovepress.com/anesthetic-keratopathy-presenting-as-bilateral-mooren-like-ulcers-a11375https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Hamid Khakshoor,1 Majid Moshirfar,2 Rachel G Simpson,3 Hamid Gharaee,1 Amir H Vejdani,1 Steven M Christiansen,2 Jason N Edmonds,2 Nicholas L Behunin21Mashhad University of Medical Sciences, Department of Ophthalmology, Mashad, Iran; 2John A Moran Eye Center, University of Utah, Salt Lake City, UT, 3The University of Arizona College of Medicine, Phoenix, AZ, USAAbstract: This observational case report describes the development of bilateral Mooren-like ulcers in a patient with anesthetic keratopathy. A 42-year-old man with a recent history of minor eye trauma and pain self-treated with tetracaine eye drops presented with complaints of acutely worsening vision and severe pain bilaterally. His visual acuity at presentation was limited to hand motion. Slit-lamp examination revealed bilateral epithelial defects at the center of the cornea, and an area of stromal infiltration and thinning with an undermining leading edge resembling a Mooren's ulcer in both eyes. Corneal haze and hypopyon were visible. Anesthetic use was halted immediately and the patient was started on prednisolone and mycophenolate mofetil (Cellcept®), after which visual acuity gradually improved and pain decreased. Despite improvement of symptoms, residual epithelial defects remained, and the patient was ultimately treated with keratoplasty for recovery of vision. We suggest that anesthetic keratopathy should be included in the differential diagnosis for any patient presenting with ring-shaped stromal infiltrates or nonhealing epithelial defects.Keywords: anesthetic abuse, corneal damage, corneal ulcerationKhakshoor HMoshirfar MSimpson RGGharaee HVejdani AHChristiansen SMEdmonds JNBehunin NLDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1719-1722 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Khakshoor H
Moshirfar M
Simpson RG
Gharaee H
Vejdani AH
Christiansen SM
Edmonds JN
Behunin NL
Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
description Hamid Khakshoor,1 Majid Moshirfar,2 Rachel G Simpson,3 Hamid Gharaee,1 Amir H Vejdani,1 Steven M Christiansen,2 Jason N Edmonds,2 Nicholas L Behunin21Mashhad University of Medical Sciences, Department of Ophthalmology, Mashad, Iran; 2John A Moran Eye Center, University of Utah, Salt Lake City, UT, 3The University of Arizona College of Medicine, Phoenix, AZ, USAAbstract: This observational case report describes the development of bilateral Mooren-like ulcers in a patient with anesthetic keratopathy. A 42-year-old man with a recent history of minor eye trauma and pain self-treated with tetracaine eye drops presented with complaints of acutely worsening vision and severe pain bilaterally. His visual acuity at presentation was limited to hand motion. Slit-lamp examination revealed bilateral epithelial defects at the center of the cornea, and an area of stromal infiltration and thinning with an undermining leading edge resembling a Mooren's ulcer in both eyes. Corneal haze and hypopyon were visible. Anesthetic use was halted immediately and the patient was started on prednisolone and mycophenolate mofetil (Cellcept®), after which visual acuity gradually improved and pain decreased. Despite improvement of symptoms, residual epithelial defects remained, and the patient was ultimately treated with keratoplasty for recovery of vision. We suggest that anesthetic keratopathy should be included in the differential diagnosis for any patient presenting with ring-shaped stromal infiltrates or nonhealing epithelial defects.Keywords: anesthetic abuse, corneal damage, corneal ulceration
format article
author Khakshoor H
Moshirfar M
Simpson RG
Gharaee H
Vejdani AH
Christiansen SM
Edmonds JN
Behunin NL
author_facet Khakshoor H
Moshirfar M
Simpson RG
Gharaee H
Vejdani AH
Christiansen SM
Edmonds JN
Behunin NL
author_sort Khakshoor H
title Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
title_short Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
title_full Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
title_fullStr Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
title_full_unstemmed Anesthetic keratopathy presenting as bilateral Mooren-like ulcers
title_sort anesthetic keratopathy presenting as bilateral mooren-like ulcers
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/4318a1647e65429c851e7c2f70df28b7
work_keys_str_mv AT khakshoorh anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT moshirfarm anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT simpsonrg anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT gharaeeh anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT vejdaniah anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT christiansensm anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT edmondsjn anesthetickeratopathypresentingasbilateralmoorenlikeulcers
AT behuninnl anesthetickeratopathypresentingasbilateralmoorenlikeulcers
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