Posters

From dryness to perforation: a cornea’s journey with radiotherapy – a case report

Poster Details

First Author: M.Bagueri MOROCCO

Co Author(s): S. Belghmaidi   Y. Maslik   I. Hajji   A. Moutaouakil           

Abstract Details

Purpose:

Radiation-induced ocular complications are common during radiation therapy for cancers of the head and neck. Some are mild and transient, and others can be the dire engaging visual prognosis. We report a rare and unusual case of corneal perforation as a late complication, and through it, we aim to highlight the impact of radiation on the ocular surface and cornea

Setting:

University hospital center Mohammed VI de Marrakech

Methods:

We are reporting the case of a 15 years-old young adolescent, followed for Rhabdomyosarcoma of the right orbit. In the ophtalmic follow up, a corneal perforation has occured. The treatmemt consisted on an amniotic membrane graft.

Results:

Ophtalmic follow up has noted a moderated dry eye managed with lubricating agents. Eleven months later, the patient presents a posterior subcapsular cataract. Phacoemulsification with implantation showed no complications. After four weeks, the patient had a corneal perforation. Treatment consists of an amniotic membrane multilayers inlay graft. Postoperative follow-up included clinical and tomographical evaluations on day 1, day 8, day 21, one month and two months. The epithelialization of the graft started in the first week. The resorption was complete after two months with the persistence of a sequalae vascular opacity. Final visual acuity was limited to count the fingers.

Conclusions:

Considering the excellent prognosis of orbital Rhabdomyosarcoma, the reduction of these late effects should be an essential part of the local treatment strategy6 and indicating the need to prepare the ocular surface, and systematic long-term ophthalmologic follow up of these patients

Financial Disclosure:

None