Spontaneous Eyeball Rupture in a 94-Year-Old Patient.

Park, Dae Il; Park, Jong Seo; Kang, Hae Youn; Lew, Helen

doi:2011.52.6.734

J Korean Ophthalmol Soc > Volume 52(6); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(6):734-737.
DOI: https://doi.org/10.3341/jkos.2011.52.6.734 Published online June 15, 2011.

Spontaneous Eyeball Rupture in a 94-Year-Old Patient.

Dae Il Park, Jong Seo Park, Hae Youn Kang, Helen Lew

¹Department of Ophthalmology, Bundang CHA Hospital, CHA University, Seongnam, Korea. eye@cha.ac.kr
²Department of Pathology, Bundang CHA Hospital, CHA University, Seongnam, Korea.

94세 노인에서 발생한 자발성 안구 파열

박대일¹⋅박종서¹⋅강혜윤²⋅유혜린¹

Departments of Ophthalmology¹, Pathology², Bundang CHA Hospital, CHA University, Seongnam, Korea

Abstract

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 anti-cataract 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.

Key Words: Glaucoma;Morganella morganii;Preservative eyedrops;Spontaneous eyeball rupture;Suprachoroidal hemorrhage