Conjunctival-corneal melt in association with carotid artery stenosis
نویسندگان
چکیده
PURPOSE To report a case of severe conjunctival-corneal melt in association with carotid artery stenosis. METHODS Observational case report. RESULTS A 76-year-old man with a history of bilateral severe carotid artery occlusion and nonarteritic ischemic optic neuropathy developed a spontaneous bulbar conjunctival defect. Despite intensive lubrication, and attempts at surgical closure including an amniotic membrane patch graft, it progressed with subsequent adjacent corneal perforation. Thorough investigations revealed no underlying disease, except markedly delayed episcleral vessel filling on anterior segment fluorescein angiography. CONCLUSIONS Neovascularisation is a known factor in the inhibition of ulceration. In light of the findings in this report, ocular ischemia should be considered as a cause or contributing factor in the differential diagnosis of conjunctival-corneal melt.
منابع مشابه
Carotid angioplasty and stenting in a patient with high grade stenosis of Internal Carotid Artery associated with both vertebral arteries and contralateral carotid occlusion
Severe internal carotid artery (ICA) stenosis is a common cause of cerebrovascular accident (CVA) in middle-aged patients. Contralateral carotid occlusion (CCO) in patients with severe ICA stenosis is associated with high risk of CVA. Carotid endarterectomy (CEA) is associated with more complications in patients with CCO than those without CCO. In this study, we present the case of a 61-year-ol...
متن کاملCandida patients in a Jorjani center in Shahid Mohammadi Hospital of carotid Doppler sonnograghy findings in coronary artery Bypas grafting Bandar Abbas
Introduction: Nowadays caotid Dopplers sonography is gold standard for carotid artery screening in coronary aetery bypass grafting (CABG) candidates. This study was carried out in an angioplasty center in southern seaport in Iran to assesss theprevalence of artery stenosis and correlation of the atherosclerosis risk factor with the rate of artery stensis, and nence to define the high risk group...
متن کاملANGIOPLASTY AND STENTING OF CAROTID ARTERY STENOSIS WITH EMBOLIC PROTECTION DEVICES
Background: Carotid artery stenting (CAS) has recently been recommended as an alternative to carotid endarterectomy (CEA) by some clinicians. Objective: This study was designed to evaluate the success rate and in-hospital and 30-day adverse events in our first experiences in Iran for CAS with protection devices, to document our results and guide further use of CAS. Methods: From December 2...
متن کاملبررسی رابطه بین سطح سرمی لیپو پروتیین a و تنگی شریان کاروتید
Background: In many studies, Serum lipoprotein(a) [Lp(a)] levels considered as an independent risk factor for atherosclerosis. The aim of this study was to assess the association between Lp(a) and cervical carotid artery stenosis in one sample the Iranian population. Methods: As a cross sectional study, between June 2004 and January 2005, at Tehran Heart Center, 1189 candidates for any kind of...
متن کاملPrevalence of carotid arterial diseases in patients undergoing CABG operations
Introduction: Prevalence of stroke following coronary artery bypass graft surgery (CABG) is % 2.1-5.2 and associated with high mortality. The purpose of this study was to investigate the prevalence of carotid artery disease in patients undergoing CABG surgery. Methods: This cross-sectional study was performed in the years 2010-2011 on 192 patients who underwent open heart surgery (CABG) in...
متن کامل