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05 December 2023: Articles

Late-Onset Chronic Corneal Fistula Following Phototherapeutic Keratectomy: A Case Report and Importance of Early Detection

Unusual clinical course

Deema E. Jomar A* , Lamees Alshaikh E , Samar A. Al-Swailem A

DOI: 10.12659/AJCR.942279

Am J Case Rep 2023; 24:e942279

Figure 1. Slit lamp photos of the left eye at presentation. (A, B) Fluorescein-stained cornea with cobalt blue filter showing severe superficial punctate keratitis (diffuse corneal staining), a small epithelial defect and a paracentral leakage. (C) Fluorescein-stained cornea without cobalt blue filter showing diffuse corneal scarring with peripheral neovascularization. (D, E) Anterior segment optical coherence tomography showing anterior stromal scarring (hyper-reflectivity, blue arrow), intrastromal fluid collection (lacuna) (hypo-reflectivity, asterisk), epithelial bullae (arrowheads), possible entry site at an area of internal Descemet’s membrane discontinuity (red arrow), and an exit through an area of epithelial surface disruption (white arrow).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923