We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge.
- Authors
Morales-Mancillas, Nallely; Bustamante-Arias, Andres; Homar Paez-Garza, Juan; Marines-Sanchez, Hector; Rodriguez-Garcia, Alejandro
- Abstract
The purpose is to report the ocular complications observed after compound cranial nerve palsies secondary to multiple clivus chordoma resection surgeries. A 38-year-old man was referred to our clinic with diplopia and foreign-body sensation. Examination revealed a right peripheral facial paralysis with paralytic lagophthalmos leading to exposure keratopathy and a right sixth nerve palsy with esotropia. Subsequently, the patient developed a longitudinal fusiform-shaped corneal epithelial defect in the right eye. The corneal sensation was reduced due to a fifth nerve palsy leading to neurotrophic keratopathy. The combination of neurotrophic with exposure keratopathy is one of the worst scenarios for corneal integrity.
- Subjects
CHORDOMA; FACIAL paralysis; CRANIAL nerves; CORNEA; SURGICAL excision
- Publication
Pan-American Journal of Ophthalmology, 2020, Vol 2, Issue 1, p1
- ISSN
2666-4909
- Publication type
Article
- DOI
10.4103/PAJO.PAJO_27_19