Abstract

IBANEZ FLORES, N  and  SANZ MORENO, S. Bilateral neurotrophic keratitis secondary to encephalic trunk metastasis. Arch Soc Esp Oftalmol [online]. 2002, vol.77, n.12, pp.681-684. ISSN 0365-6691.

Case report: We report the case of a 69-year-old man with a lung carcinoma history. The patient showed signs of conjuntival hyperemia, painless bilateral corneal edema, persistent epitelial defects and reported to have decreasing visual acuity for a week. The clinical examination revealed a bilateral neurotrophyc keratitis with both a decreased frequency of blinking and a bilateral atrophy mandibular muscles. Local ocular patology was excluded. Systemic exploration showed a meningeal neoplasic infiltration and metastasis on the initial trigeminal nerve stretch. In our knowledge, this is the first case reported in the literature. Discussion: Ophthalmic signs should be considered in the diagnosis of systemic pathology.

Keywords : Keratitis; neurotrophic keratitis; neurotrophic keropathy; neurotrophic corneal ulcers; neuroparalytic keratitis.