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All Journal Jurnal Ilmu Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Samira, Cut Putri
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Jurnal Ilmu Kedokteran dan Kesehatan

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Temporary Lateral Tarsorrhaphy In Managing Corneal Ulceration Related To Facial Nerve Palsy : Case Report Rosdiana, Eka; Samira, Cut Putri
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 12 (2024): Volume 11 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i12.18786

Abstract

Corneal ulceration is a breach in the corneal epithelial surface that can lead to blindness. Facial nerve palsy can lead to inadequate eyelid closure and reducing lubrication of the eye's surface. A 58-year-old man presented with a one-month history of worsening blurred vision, pain, and a whitish spot in the Right Eye (RE). He had been diagnosed with facial nerve palsy three months prior which hadn’t improved. Ophthalmic examination revealed reduced visual acuity, conjunctival hyperemia, hypopyon, and lagophthalmos with corneal exposure in RE. Fluorescent test showed 4x5 mm corneal ulceration with infiltrate. A neurological examination confirmed facial nerve involvement. After pharmacological treatment, a follow-up showed resolution of hypopyon but a persistent corneal ulcer with infiltrate. Long-term corneal exposure from lagophthalmos can cause corneal ulceration and thinning, especially in the lower part of cornea. This poses a therapeutic challenge. A temporary lateral tarsorrhaphy was performed to encourage healing of the corneal surface by optimizing eyelid positioning. One month post-procedure, the ulcer showed good re-epithelialization.
Co-Authors Akbar, Muhammad Khalil Alberta, Ivana Beatrice Faizah, Siti Harniza, Yulika Imelda, Eva Islami, Dian Nilawati, Enny Nora, Rina La Distia Rosdiana, Eka Tjahjono D. Gondhowiardjo Widyawati, Syska