This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neurology, Other  • Ophthalmology  • Corneal Disorders  • Otolaryngology/ Head & Neck Surgery  • Facial Nerve Disorders  • Alert me on articles by topic

A Test Not to Omit

Arch Neurol. 2006;63:1656-1657.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Anesthetic cornea causing neurotrophic keratitis is frequently missed when it presents early. It is important to check corneal sensation in any corneal defect, especially when there are no predisposing risk factors.

REPORT OF A CASE

A 77-year-old male patient was referred to the eye casualty department. Examination showed a right corneal abrasion, laxity at the medial aspect of the right lower lid with no evidence of corneal exposure, and a good Bell phenomenon. There was no history of trauma or viral illness. Follow-up was organized for the abnormal lid position.

The patient was still symptomatic and returned to the eye casualty department. The corneal defect was enlarged (Figure 1). Examination revealed a right, lower motor neuron seventh nerve palsy, prompting testing of corneal sensation, which was absent. In addition, there was no abduction of the right eye and lack of adduction of both eyes, consistent with one-and-a-half syndrome. There was no further . . . [Full Text of this Article]

COMMENT

AUTHOR INFORMATION
Ioannis Kyprianou, MBChB(Hon), MRCOphth; Susan P. Mollan, MBcHB, MRCOphth; Marie D. Tsaluomas, FRCOphth; Andrew S. Jacks, FRCOphth