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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 871

Absolute eye: Not completely obsolete after all!


Cornea and Refractive Surgery, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Aditya Ghorpade
Aravind Eye Hospital, S. N. High Road, Tirunelveli Junction, Tirunelveli - 627 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2750_21

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How to cite this article:
Ghorpade A, Venugopal A. Absolute eye: Not completely obsolete after all!. Indian J Ophthalmol Case Rep 2022;2:871

How to cite this URL:
Ghorpade A, Venugopal A. Absolute eye: Not completely obsolete after all!. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 11];2:871. Available from: https://www.ijoreports.in/text.asp?2022/2/3/871/351149



A 55-year-old patient with a known case of left eye absolute glaucoma came for follow-up. Careful slit lamp examination showed corneal fistula of 1 × 1 mm with surrounding epithelial bleb [Figure 1]a.[1] It was successfully managed with tenon patch graft [Figure 1]b. The formation of fistula in our case can be attributed to poor opposition of stromal tissue worsened by raised intraocular pressure. If left untreated, constant seepage through the fistula and epithelial migration in the track can lead to chronicity, panophthalmitis,[2] or even expulsive suprachoroidal haemorrhage.[3] Absolute eyes need to be periodically examined to avoid aforementioned complications.
Figure 1: (a) Slit lamp picture showing left eye corneal fistula in an absolute eye. (b) Post operative picture of corneal fistula managed with tenon patch graft at 3 weeks follow-up

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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.
Mannis M, Ruben J, Wedemeyer L. Corneal fistulas and their management. Am J Ophthalmol 1988;105:626-31.  Back to cited text no. 1
    
2.
Singhal D, Sahay P, Maharana P, Amar S, Titiyal J, Sharma N. Clinical presentation and management of corneal fistula. Br J Ophthalmol 2018;103:530-3.  Back to cited text no. 2
    
3.
Oshida T, Kamura Y, Sawa M. Demographic study of expulsive hemorrhages in 3 patients with infectious keratitis. Cornea 2011;30:784-6.  Back to cited text no. 3
    


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