Spontaneous Eyeball Rupture in a 94-Year-Old Patient.
10.3341/jkos.2011.52.6.734
- Author:
Dae Il PARK
1
;
Jong Seo PARK
;
Hae Youn KANG
;
Helen LEW
Author Information
1. Department of Ophthalmology, Bundang CHA Hospital, CHA University, Seongnam, Korea. eye@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Glaucoma;
Morganella morganii;
Preservative eyedrops;
Spontaneous eyeball rupture;
Suprachoroidal hemorrhage
- MeSH:
Biopsy;
Cataract;
Choroid Hemorrhage;
Cornea;
Eye;
Female;
Glaucoma;
Glaucoma, Angle-Closure;
Headache;
Hemorrhage;
Humans;
Limbus Corneae;
Morganella morganii;
Ophthalmic Solutions;
Rupture
- From:Journal of the Korean Ophthalmological Society
2011;52(6):734-737
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of spontaneous eye ball rupture without trauma in a 94-year-old patient. CASE SUMMARY: A 94-year-old female patient diagnosed with cataract in both eyes 20 years was referred to this ophthalmologic department for treatment consultation of a painful left eye with spontaneous bleeding. She has used anti-cataract eye drops and artificial tears three times a day for several years without consulting a doctor. Fifteen days prior to presentation, the patient suffered severe left eyeball pain and headache and was diagnosed with acute angle-closure glaucoma secondary to hypermature cataract. She underwnet eviceration after ocular examination and systemic evaluation. Surgical findings included a thin cornea at the inferior limbus and protruding intraocular tissues. Additionally, the eyeball was filled with a blood clot from a choroidal hemorrhage. Morganella morganii were grown in a bacterial swap culture, and a corneal biopsy revealed suppurative inflammation. CONCLUSIONS: In old age, a thin corneal limbus due to infection and complicated acute angle-closure glaucoma can cause massive suprachoroidal hemorrhage with spontaneous eyeball rupture.
