Punção estromal anterior na descompensação corneana secundária à iridosquise: relato de caso e revisão da literatura

• Autor(a) principal: Fontes, Bruno Machado [UNIFESP]
• Data de Publicação: 2003
• Outros Autores: Alvarenga, Lênio Souza [UNIFESP], Vieira, Luís Antonio [UNIFESP], Souza, Luciene Barbosa de [UNIFESP], Freitas, Denise de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492003000500023; http://repositorio.unifesp.br/handle/11600/1860
• topic: Cornea; Endothelium corneal; Iris diseases; Palliative care; Edema; Case report; Córnea; Endotélio da córnea; Doenças da íris; Assistência paliativa; Edema; Relato de caso

To describe the treatment of localized bullous keratopathy secondary to iridoschisis with anterior stromal puncture in a 81-year-old female with iridoschisis and localized corneal edema, in whom anterior stromal puncture was performed. Ocular examination showed inferior iridoschisis in the right eye, with localized edema in the area of contact between the fibers and the endothelium. Photocoagulation of the fibers was performed but no biomicroscopic changes were observed. Anterior stromal puncture was performed and a complete resolution of symptoms was observed. We suggest that anterior stromal puncture should be considered as an option to reduce the symptoms of patients with localized corneal edema secondary to iridoschisis. Review of the literature about palliative treatments for bullous keratopathy was also performed.