|Year : 2020 | Volume
| Issue : 10 | Page : 2259
Corneal melt causing direct visualization of choroidal detachment
Rahul Kumar Bafna, Namrata Sharma, Karthikeyan Mahalingam, Kalathil Reshmi Shaji
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
|Date of Web Publication||23-Sep-2020|
Dr. Karthikeyan Mahalingam
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Bafna RK, Sharma N, Mahalingam K, Shaji KR. Corneal melt causing direct visualization of choroidal detachment. Indian J Ophthalmol 2020;68:2259
|How to cite this URL:|
Bafna RK, Sharma N, Mahalingam K, Shaji KR. Corneal melt causing direct visualization of choroidal detachment. Indian J Ophthalmol [serial online] 2020 [cited 2020 Oct 31];68:2259. Available from: https://www.ijo.in/text.asp?2020/68/10/2259/295653
A 65-year-old male presented with total corneal melt following graft infection. Intraocular contents were exposed [Figure 1]a, with direct visualization of the retina and inferior choroidal detachment [Figure 1]b. There was history of therapeutic penetrating keratoplasty and vitrectomy done. We repeated penetrating keratoplasty to maintain globe integrity. Postoperatively [Figure 1]c infection resolved and globe integrity was maintained after 6 months follow-up. Perforated corneal ulcer causes choroidal detachment and its frequency increases as the perforation size increases.
|Figure 1: Clinical picture showing Corneal melt (a) with choroidal detachment (b). Post-operative clinical picture(c) at 6 months follow up|
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Some studies  recommend suprachoroidal drainage during keratoplasty. In our case as choroidal detachment was less severe, it resolved without drainage.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Singh R, Umapathy T, Abedin A, Eatamadi H, Maharajan S, Dua HS. Choroidal detachment in perforated corneal ulcers: Frequency and management. Br J Ophthalmol 2006;90:1111-4.
Maharajan VS, Dua HS, Maharajan P, Kuriakose T, Joseph A. Role of choroidal drainage in therapeutic keratoplasty. Cornea 2002;21:384-7.