Abstract：
To report a case of acute exposure keratopathy with comorbid depression and improvement of both conditions with the use of a scleral lens (SL).
A 72-year-old male with a past ocular history significant for extensive basal cell carcinoma (BCC) excision of the right upper and lower eyelids presented for evaluation of exposure keratitis and consideration of a SL for the right eye. Examination was notable for post-surgical irregular lid margins with lagophthalmos, trichiasis and an Oxford Grade I staining of the central exposed cornea. Medical history was notable for chronic severe depression and anxiety with suicidal ideation. Upon treatment with a SL, the patient noted ocular comfort, and reported significantly improved affect.
Currently, there is no peer reviewed literature reporting on the management of exposure keratopathy in the setting of comorbid affective disorders. This case highlights the improvement in quality of life for a patient with exposure keratitis and severe depression with suicidal ideation and points to the potential utilization of a SL to mitigate the risk of mental health decompensation.
A 72-year-old male with a past ocular history significant for extensive basal cell carcinoma (BCC) excision of the right upper and lower eyelids presented for evaluation of exposure keratitis and consideration of a SL for the right eye. Examination was notable for post-surgical irregular lid margins with lagophthalmos, trichiasis and an Oxford Grade I staining of the central exposed cornea. Medical history was notable for chronic severe depression and anxiety with suicidal ideation. Upon treatment with a SL, the patient noted ocular comfort, and reported significantly improved affect.
Currently, there is no peer reviewed literature reporting on the management of exposure keratopathy in the setting of comorbid affective disorders. This case highlights the improvement in quality of life for a patient with exposure keratitis and severe depression with suicidal ideation and points to the potential utilization of a SL to mitigate the risk of mental health decompensation.
摘要：
目的：报告一例急性暴露性角膜病合并抑郁，并使用巩膜晶状体（SL）改善两种情况。
方法：一名72岁男性，有既往眼部病史，对右上下眼睑广泛的基底细胞癌（BCC）切除术具有重要意义，用于评估暴露性角膜炎并考虑右眼SL。手术后眼睑边缘不规则伴眼球检查值得注意，倒车灯和中央暴露角膜的牛津I级染色。病史为慢性重度抑郁和焦虑伴自杀意念。用SL治疗后，患者注意到眼睛舒适，并报告了显著改善的影响。
结论：目前，没有同行评审的文献报道在合并症情感性疾病中暴露性角膜病变的处理.此病例强调了暴露性角膜炎和严重抑郁症伴自杀意念的患者的生活质量的改善，并指出了SL的潜在利用，以减轻心理健康代偿失调的风险。
方法：一名72岁男性，有既往眼部病史，对右上下眼睑广泛的基底细胞癌（BCC）切除术具有重要意义，用于评估暴露性角膜炎并考虑右眼SL。手术后眼睑边缘不规则伴眼球检查值得注意，倒车灯和中央暴露角膜的牛津I级染色。病史为慢性重度抑郁和焦虑伴自杀意念。用SL治疗后，患者注意到眼睛舒适，并报告了显著改善的影响。
结论：目前，没有同行评审的文献报道在合并症情感性疾病中暴露性角膜病变的处理.此病例强调了暴露性角膜炎和严重抑郁症伴自杀意念的患者的生活质量的改善，并指出了SL的潜在利用，以减轻心理健康代偿失调的风险。
