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Secondary angle closure glaucoma resulting from total anterior synechia leads to gradual bulging of the cornea. Corneal exposure can result in chronic keratitis. Looking for online definition of anterior staphyloma in the Medical Dictionary? anterior staphyloma explanation free. What is anterior staphyloma? Meaning of. histopathological features of congenital corneal staphyloma are discussed, as well as the possible anteroposterior length, with an abnormal anterior segment .

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The patient was offered imminent penetrating keratoplasty in his right eye; however, he was lost to follow-up for the next 6 months. He was otherwise quite well with no systemic symptoms, and his general medical history was unremarkable.

Acquired anterior staphyloma after corneal ulcer associated with the use of crack

Our patient admitted to smoking crack cocaine for 4 months and also on the day of admission. Here we describe a case of anterior staphyloma. The ectatic corneal protrusion is lined on its inner surface by uveal tissue causing the blue hue. Acquired anterior staphylomas most frequently occurs because of untreated perforated ulcers 1. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye OD.

Basic and clinical science course: From Wikipedia, the free encyclopedia. A month-old boy was referred to the Oculoplastic Clinic at Labbafinejad Medical Center for treatment of a bulging and deformed blind left eye.

Defective vision occurs due to marked corneal astigmatism. Enter a Valid email address. On the equator of the eye region circumferencing the largest diameter orthogonal to the visual axis. Cocaine can exert a direct toxic effect on the cornea by damaging epithelial plasma membranes and microvilli, or the repeated exposure to cocaine may result in decreased corneal sensation and poor blink reflex; moreover, the alkaline nature of crack cocaine could cause low-grade chemical burns to the cornea.


Services on Demand Journal. This is the first case that is associated with anterior staphyloma.

What is staphyloma? – American Academy of Ophthalmology

Richard E Bensinger MD. The patient underwent staphylona sclerokeratoplasty in his right eye prepared freehand.

It may be of 5 types, depending on the location on the eyeball bulbus oculi. There may be associated secondary angle closure glaucoma, may cause progression of the bulge if not treated. Clinical aspects of congenital anomalies of the cornea and sclera; pp. This article does not cite any sources. The patient was diagnosed with an acquired anterior staphyloma resulting from corneal perforation, with plugging of the defect by the iris, and possibly related to an initial corneal epithelial defect that was associated with crack cocaine abuse.

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Rua Casa do Ator, – cj. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Ask a New Staphylom. Corneal complications associated with the use of crack cocaine. Get ophthalmologist-reviewed tips and information about eye health and preserving your vision.

A new technique for corneal mushroom grafts and its indication. The donor graft was prepared freehand and sutured to the recipient scleral bed with nylon; the knots were rotated into the patient’s sclera Figure 2. In conclusion, drug abuse remains a common problem nowadays.


At this time, the patient agreed to surgical intervention. Descrevemos um raro caso de estafiloma anterior adquirido em um paciente viciado em crack. However, we will follow up with suggested ways to find appropriate information related to your question. National Center for Biotechnology InformationU. Histopathologic and ultrastructural analysis of congenital corneal staphyloma. There is no satphyloma treatment for this condition but some have applied banked sclera to reinforce anterior staphylomas that appear threatening to erode into the eye.


In other projects Wikimedia Commons. Views Read Edit View history. The appearance of the protruded area was similar to a blueberry in color, size, and shape Figure anteroir. It occurs more commonly in the regions of sclera which are perforated by vortex veins.

A few cases of acquired anterior staphyloma associated with drug abuse have been reported in the literature. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Why has my near vision gotten worse since my cataract surgery two weeks ago? The corneal epithelium is hyperkeratotic showing marked acanthosis.

Left eye examination revealed inferior superficial punctate keratopathy without the evidence of an infection. Trans Antdrior Ophthalmol Soc. Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. Keratectasia is probably not a developmental abnormality and seems to occur secondary to intrauterine keratitis or vitamin deficiency leading to corneal perforation.

Read our important medical disclaimer. He was homeless and admitted to using crack cocaine daily over the past 4 months.