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Corneal laceration ?caused by HBOT?
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12/31/2012 at 11:44:40 PM GMT
Posts: 14
Corneal laceration ?caused by HBOT?
We recently had a patient who was being treated for a non-healing wound. She coincidentally had sustained a corneal abrasion from trauma to the eye one week prior to starting HBOT. She saw opthalmology the morning prior to her first session of HBOT. She was diagnosed by opthalmology with a corneal abrasion and given an antibiotic ointment. She receieved one session of HBOT on Friday. Sunday evening she reported to ER with eye pain, vomiting and was told she ruptured her cornea and has lost vision in that eye. I know corneal abrasion is a contraindication for diving but we did not feel this was a reason to withhold HBOT. Does anyone know more about this diagnosis? Is it possible that HBOT contributed to her corneal tear?

Rosemary Byrne NP
Certified Hyperbaric Registered Nurse


1/3/2013 at 1:49:17 AM GMT
Posts: 14
Update
To update on this: the patient was found to have a corneal infection that was misdiagnosed as a corneal abrasion. She was admitted to ICU and has currently no vision in the affected eye. It is likely that HBOT had no impact on this unfortunate situation.

Rosemary Byrne NP
Certified Hyperbaric Registered Nurse


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