Vessel cauterization as a therapeutic adjunct in persistent disciform corneal stromal edema.

Abstract

This is a case report of a symptomatic non-clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar within five days of feeder vessel cauterization, together with improvement of two psychometric scales in corneal cloudiness on a scale range of 0 to 3, clinical evidence of resolution of corneal edema, and subjective resolution of the patient's symptoms. Cauterization was done under magnification with a ball cautery point warmed in a spirit lamp following topical anesthesia. This intervention may become handy in difficult non-clearing corneal edema and prevent blinding consequences, in a low-resource facility, in selected applicable cases.

• Authors: Lasisi Akinola Muideen, Ezeronye Ugochi Shiela
• Journal: Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society (Niger J Surg) Vol. 20 Issue 2 Pg. 96-9 (Jul 2014) ISSN: 1117-6806 [Print] India
• PMID: 25191102 (Publication Type: Case Reports)