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Year : 2014  |  Volume : 20  |  Issue : 2  |  Page : 96-99

Vessel cauterization as a therapeutic adjunct in persistent disciform corneal stromal edema

Department of Ophthalmology, Eye Center, Kubwa General Hospital, Kubwa, Abuja, Nigeria

Correspondence Address:
Dr. Lasisi Akinola Muideen
PO Box-1041, Kubwa-FCT-Abuja
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1117-6806.137311

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This is a case report of a symptomatic non-clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar within five days of feeder vessel cauterization, together with improvement of two psychometric scales in corneal cloudiness on a scale range of 0 to 3, clinical evidence of resolution of corneal edema, and subjective resolution of the patient's symptoms. Cauterization was done under magnification with a ball cautery point warmed in a spirit lamp following topical anesthesia. This intervention may become handy in difficult non-clearing corneal edema and prevent blinding consequences, in a low-resource facility, in selected applicable cases.

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