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New Instrument
July 14, 2008

Bilateral Infusion Pump Implants as Therapy for Refractory Corneal Ulcers in a Patient With CREST SyndromeAn Interdisciplinary Approach

Author Affiliations

Author Affiliations: Departments of Anesthesia, Critical Care, and Pain Management (Drs De Andrés and Villanueva Pérez), Multidisciplinary Pain Management (Drs De Andrés and Villanueva Pérez), and Ophthalmology (Drs García-Delpech, Díaz-Llopis, Udaondo, Serrano Sánchez, and Salom), University General Hospital, Valencia, Spain.

Arch Ophthalmol. 2008;126(7):964-967. doi:10.1001/archopht.126.7.964
Abstract

Internal infusion pumps are implantable and programmable systems that have been widely used for years in the management of chronic pain. During the past few years, these devices have had an increasingly prominent role given the possibility of insulin infusions in patients with diabetes mellitus because they provide patients with higher autonomy in the management of their disease, despite the fact that they are expensive systems and require surgery for implantation. These features make internal infusion pumps a suitable therapeutic option for those patients who need to use artificial tears continuously because of severe dry eyes. We report a case of severe eye pain due to xerophthalmia in a patient with CREST (calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) syndrome who was treated with an implanted pump reservoir.

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