Trigeminal schwannoma complicated with nerve paralysis keratitis: a case report
Journal Title: Eye Science (Yanke Xuebao) - Year 2023, Vol 38, Issue 4
Abstract
This article reports a case of a middle-aged male patient who visited the Department of Neurosurgery of our hospital due to headache and left hearing loss. He was diagnosed with left trigeminal schwannoma by imaging examination and abnormal blood routine before surgery. During chemotherapy and paralytic keratitis (neurotrophic keratitis, NK), can be seen in the lower part of the corneal center of the epithelium and the prestromal layer of round gray and white turbidities, jelly like, after local drug treatment improved, but residual corneal stromal white turbidities. Due to the lack of full understanding of NK in clinic at the present stage, diagnosis and treatment is easy to be delayed. In addition, the NK patient reported in this paper was easily misdiagnosed as bacterial keratitis complicated by chemotherapy due to his history of chemotherapy and related signs during treatment. This paper analyzed the characteristics of keratopathy and briefly reviewed the clinical characteristics, differential diagnosis and treatment of NK, in order to identify and treat these patients in early clinical stage, restore the optical characteristics of cornea and maintain good visual experience.
Authors and Affiliations
Ye PENG, Ruidong WANG, Chunfang WANG
Keywords
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- EP ID EP764641
- DOI 10.12419/j.issn.1000-4432.2023.04.08
- Views 16
- Downloads 0
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