RESUMEN

An 80-year-old woman with a painful, poorly seeing right eye underwent retrobulbar chlorpromazine injection for pain control. After the injection, the patient's symptoms improved; however, a neurotrophic ulcer developed within 2 weeks after the procedure. It is postulated that chlorpromazine may lead to sensory denervation to the cornea with the subsequent development of neurotrophic keratopathy, as observed in this case. Awareness of this potential adverse effect is important for proper patient safety, education, and postinjection management.

Asunto(s)

Clorpromazina/efectos adversos , Córnea/inervación , Úlcera de la Córnea/inducido químicamente , Antagonistas de Dopamina/efectos adversos , Enfermedades del Nervio Trigémino/inducido químicamente , Anciano de 80 o más Años , Úlcera de la Córnea/diagnóstico , Dolor Ocular/tratamiento farmacológico , Femenino , Humanos , Inyecciones Intraoculares , Órbita , Enfermedades del Nervio Trigémino/diagnóstico