Ectasie cornéenne suite à une brûlure thermique

Corneal ectasia is a rare complication involving the visual function. The disease starts sometimes insidiously with a long delay before clinical presentation; it is irreversible with pejorative prognosis (it may be an indication for a corneal graft). These characteristics make it a dreaded complication and give it an adverse and pernicious dimension. It can be caused by thermal burn. We report a case of a 65-year-old patient with no past medical history suffering from corneal ectasia of the right eye following thermal burn caused by cooking oil for one year. Visual acuity was limited to positive light perception. The examination of the anterior segment of the eye using the slit lamp showed corneal ectasia with significant central thinning, stromal opacities and limbic distension without vascular involvement. Ocular ultrasound showed no abnormalities of the associated posterior segment. The patient underwent transfixing keratoplasty with good aesthetic results (anterior segment repair) and slight visual recovery (visual acuity: fingers movement).