What is it about?
A patient with multiple intracranial surgical interventions to resect a clivus chordoma tumor developed CN-V, CN-VI, and CN-VII palsies developing marked corneal hypoesthesia and exposure keratopathy with a subsequent persistent epithelial defect.
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Why is it important?
Because a combined CN-V and CN-VII palsies represent a serious threat for corneal integrity and function. Therefore, coordinated multidisciplinary management, including strabismus, oculoplastic, and corneal specialists is necessary to avoid serious complications and obtain a favorable outcome.
Perspectives
We hope that by sharing this challenging clinical case, the readers will get useful considerations and get to know potential obstacles that may occur during the management of such a complicated case.
Dr. Alejandro Rodriguez-Garcia
Instituto Tecnologico y de Estudios Superiores de Monterrey
Read the Original
This page is a summary of: Multidisciplinary management of neurotrophic and exposure keratopathy secondary to clivus chordoma resection: An ocular surface challenge, The Pan-American Journal of Ophthalmology, January 2020, Medknow,
DOI: 10.4103/pajo.pajo_27_19.
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