Filamentary keratopathy caused by corneal occlusion by large-angle paralytic strabismus.
OBJECTIVE
To report a case of filamentary keratopathy in a patient with large-angle paralytic strabismus.


METHODS
A 31-year-old man who had a traffic accident was diagnosed to have third cranial nerve palsy and a large-angle exotropia in his right eye. The patient complained of foreign body sensation in his right eye 2 months after the accident.


RESULTS
Slit-lamp examination showed multiple filaments on the right cornea. Debridement of the filaments and artificial tears relieved the symptoms and were used until the paralysis resolved.


CONCLUSIONS
Large-angle paralytic strabismus with ptosis and poor elevation and depression of the eye may occlude the cornea and lead to filamentary keratopathy.
Unal
Mustafa
M
Ophthalmology Department, Akdeniz University Medical Faculty, Antalya, Turkey. drmustafaun@hotmail.com
Sarici
Ahmet
A
D000063:Accidents, Traffic; D000328:Adult; D001763:Blepharoptosis / Q000209:etiology*; D003131:Combined Modality Therapy; D003316:Corneal Diseases / Q000209:etiology* / Q000628:therapy; D003646:Debridement; D005099:Exotropia / Q000150:complications*; D006801:Humans; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000150:complications*; D009883:Ophthalmic Solutions / Q000627:therapeutic use
D009883:Ophthalmic Solutions