ORIGINAL ARTICLE
Year : 2020 | Volume
: 2 | Issue : 1 | Page : 7-
Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge
Nallely Morales-Mancillas, Andres Bustamante-Arias, Juan Homar Paez-Garza, Hector Marines-Sanchez, Alejandro Rodriguez-Garcia
Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, México
Correspondence Address:
Alejandro Rodriguez-Garcia
School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Zambrano - Hellion Hospital – TecSalud Batallon de San Patricio 112, CP 66278, San Pedro Garza Garcia, Nuevo Leon
México
The purpose is to report the ocular complications observed after compound cranial nerve palsies secondary to multiple clivus chordoma resection surgeries. A 38-year-old man was referred to our clinic with diplopia and foreign-body sensation. Examination revealed a right peripheral facial paralysis with paralytic lagophthalmos leading to exposure keratopathy and a right sixth nerve palsy with esotropia. Subsequently, the patient developed a longitudinal fusiform-shaped corneal epithelial defect in the right eye. The corneal sensation was reduced due to a fifth nerve palsy leading to neurotrophic keratopathy. The combination of neurotrophic with exposure keratopathy is one of the worst scenarios for corneal integrity.
How to cite this article:
Morales-Mancillas N, Bustamante-Arias A, Paez-Garza JH, Marines-Sanchez H, Rodriguez-Garcia A. Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge.Pan Am J Ophthalmol 2020;2:7-7
|
How to cite this URL:
Morales-Mancillas N, Bustamante-Arias A, Paez-Garza JH, Marines-Sanchez H, Rodriguez-Garcia A. Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge. Pan Am J Ophthalmol [serial online] 2020 [cited 2023 May 30 ];2:7-7
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2020;volume=2;issue=1;spage=7;epage=7;aulast=Morales-Mancillas;type=0 |
|
|
|
