Acquired anterior staphyloma after corneal ulcer associated with the use of crack.
We describe an unusual case of acquired anterior staphyloma in a patient addicted to crack cocaine. At the beginning of his crack cocaine abuse, he noticed redness and irritation of his eyes. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye (OD). Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. The patient was hospitalized to ensure compliance with the prescribed treatment and was advised to undergo therapeutic keratoplasty; however, the patient left the hospital against medical advice and was lost to follow-up for the next 6 months. He returned with complaints of photophobia and the inability to close his right eyelids. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Following surgery, the patient was again lost to follow-up.
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Stefânia Barbosa Diniz de
SB
Vasconcelos
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Fernanda Machado
FM
Guerra
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Gisele Macioca
GM
Morato
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Nathália Teles das
NT
Neves
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Patrick Frensel
PF
Tzelikis
D000328:Adult; D003316:Corneal Diseases / Q000139:chemically induced* / Q000601:surgery; D016039:Corneal Transplantation / Q000379:methods; D003320:Corneal Ulcer / Q000139:chemically induced* / Q000150:complications* / Q000601:surgery; D016578:Crack Cocaine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016639:Scleroplasty / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity
D016578:Crack Cocaine