Abstract

PAZ MORENO-ARRONES, J.; BENITEZ-HERREROS, J.; DRAKE-RODRIGUEZ, P.  and  ROMERO-GARCIA TENORIO, A.. Neurotrophic corneal ulcer in an HIV patient. Arch Soc Esp Oftalmol [online]. 2011, vol.86, n.1, pp.27-30. ISSN 0365-6691.

Case report: We present the case of a 29 year-old man who came to the Emergency Department due to pain in the right eye. There was demonstrated a complete corneal de-epithelialisation. There was no clinical improvement after appropriate treatment, which was complicated by migraine and vomiting. The computerized tomography (CT) scan showed images suggestive of cerebral toxoplasmosis. After the complete tarsorrhaphy a restitution ad integrum was observed. Conclusion: The diagnosis of a neurotrophic corneal ulcer due to an affected trigeminal nerve in the context of a cerebral toxoplasmosis, tarsorrhaphy is an effective procedure to take in account in corneal epithelial defects resistant to other treatments.

Keywords : Tarsorrhaphy; Neurotrophic ulcer; Cerebral toxoplasmosis.

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