Surgery treatment of purulent corneal ulcers associated with neuroparalytic keratitis

Kasparova Evg.A.; Sobkova O.I.; Kasparova E.A.; Kasparov A.A.

doi:https://doi.org/10.17116/neiro201882172-77

Kasparova Evg.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

Sobkova O.I.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

Kasparova E.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

ORCID: 0000-0001-8594-2395

Kasparov A.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

Surgery treatment of purulent corneal ulcers associated with neuroparalytic keratitis

Authors:

Kasparova Evg.A., Sobkova O.I., Kasparova E.A., Kasparov A.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2018;82(1): 72‑77

DOI: 10.17116/neiro201882172-77

Read: 2628 times

To cite this article:

Kasparova EvgA, Sobkova OI, Kasparova EA, Kasparov AA. Surgery treatment of purulent corneal ulcers associated with neuroparalytic keratitis. Burdenko's Journal of Neurosurgery. 2018;82(1):72‑77. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201882172-77

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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Abstract:

Objective — the study objective was to develop a method for surgical treatment of advanced purulent corneal ulcer in the setting of neuroparalytic keratitis developed after acoustic neuroma removal and strokes. Material and methods. The study included 12 patients (13 eyes). All patients underwent single-step keratoplasty, conjunctival autografting, and partial permanent tarsorrhaphy. Results. The eye as an organ was spared in 100% of cases; vision was spared in 50% of cases and improved, from 0.09±0.05 to 0.21±0.13, in 29% of cases. Lagophthalmos was reduced from 5.86±1.35 to 3.01±0.75 mm. Conclusion. Patients with intracranial lesions complicated by neuroparalytic keratitis often develop progressive purulent corneal ulcers. The simultaneous use of surgery, including keratoplasty, conjunctival autografting, and partial (external) tarsorrhaphy, is an effective treatment that can preserve the visual function of these eyes.

Keywords:

purulent ulcer

cornea

neuroparalytic

keratitis

lagophthalmos

conjunctival autografting

keratoplasty

tarsorrhaphy

Authors:

Kasparova Evg.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

Sobkova O.I.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

Kasparova E.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

ORCID: 0000-0001-8594-2395

Kasparov A.A.

Research Institute of Eye Diseases, str. Rossolimo, 11 A, Moscow, Russia,119021

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References:

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