Unexpected Corneal Perforation after Use of Topical Non-Steroidal Anti-inflammatory Drugs
Houda Bezza *
Ophthalmology Department, Avicenna Military Hospital of Marrakech, Morocco.
Oumayma El Mansouri
Ophthalmology Department, Avicenna Military Hospital of Marrakech, Morocco.
Asma El Adrari
Ophthalmology Department, Avicenna Military Hospital of Marrakech, Morocco.
Mohamed Kriet
Ophthalmology Department, Avicenna Military Hospital of Marrakech, Morocco.
Fouad Elasri
Ophthalmology Department, Avicenna Military Hospital of Marrakech, Morocco.
*Author to whom correspondence should be addressed.
Abstract
We report a case of 67-year-old with a type 2 diabetes on insulin therapy followed for moderete proliferative diabetic retinopathy undergoing pan-retinal photocoagulation (PRP) who suffered from ocular redness and pain after the application of Non-steroidal anti-inflammatory drugs (indomethacine) post-PRP. Slit lamp examination, a corneal perforation was noted on the inferotemporal side of the right eye, with iris that seals the perforation. We performed an anterior segment optical coherence tomography (OCT) of the right eye revealing corneal perforation with iris plugging the perforation and re-epithelialization of the defect.
Keywords: Optical coherence tomography, photocoagulation, corneal perforation, epithelial defects