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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2259

Corneal melt causing direct visualization of choroidal detachment


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Karthikeyan Mahalingam
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1024_20

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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.[1]
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 [2] 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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
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.  Back to cited text no. 1
    
2.
Maharajan VS, Dua HS, Maharajan P, Kuriakose T, Joseph A. Role of choroidal drainage in therapeutic keratoplasty. Cornea 2002;21:384-7.  Back to cited text no. 2
    


    Figures

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