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KMID : 0360220110520060734
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Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 6 p.734 ~ p.737
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Spontaneous Eyeball Rupture in a 94-Year-Old Patient
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Park Dae-Il
Park Jong-Seo
Kang Hae-Youn
Lew He- Len
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Abstract
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Purpose: To report a case of spontaneous eye ball rupture without trauma in a 94-year-old patient.
Case summary: A 94-year-old female patient diagnosed with cataract in both eyes 20 years was referred to this ophthalmologic department for treatment consultation of a painful left eye with spontaneous bleeding. She has used anticataract eye drops and artificial tears three times a day for several years without consulting a doctor. Fifteen days prior to presentation, the patient suffered severe left eyeball pain and headache and was diagnosed with acute angle-closure glaucoma secondary to hypermature cataract. She underwnet eviceration after ocular examination and systemic evaluation. Surgical findings included a thin cornea at the inferior limbus and protruding intraocular tissues. Additionally, the eyeball was filled with a blood clot from a choroidal hemorrhage. Morganella morganii were grown in a bacterial swap culture, and a corneal biopsy revealed suppurative inflammation.
Conclusions: In old age, a thin corneal limbus due to infection and complicated acute angle-closure glaucoma can cause massive suprachoroidal hemorrhage with spontaneous eyeball rupture.
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KEYWORD
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Glaucoma, Morganella morganii, Preservative eyedrops, Spontaneous eyeball rupture, Suprachoroidal hemorrhage
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