Al-Ghadeer Huda A
Anterior Segment Department, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Middle East Afr J Ophthalmol. 2010 Oct;17(4):382-4. doi: 10.4103/0974-9233.71589.
To report severe ocular complications and their management after self-administered topical kermes dye eye drops. A case report of a 55-year-old man who suffered severe ocular surface damage after application of topical kermes eye drops to his left eye. Active compounds of the kermes eye drops were studied for their composition. Patient reported decreased vision in the affected eye and the external eye examination revealed complete corneal abrasion, cicatrization of the conjunctiva, and symblepharon formation. The patient required immediate cleansing of the ocular surface along with irrigation. He was treated with topical corticosteroids and frequent lubrication. Gas chromatography/mass spectrometry analysis of the retrieved topical material revealed the presence of acid. The patient's visual acuity improved from 20/200 before treatment to 20/25 after treatment. Topically administered kermes eye drops may cause severe ocular injuries. Public education, early recognition of such injuries, and timely intervention may prevent permanent damage to the ocular adnexae.
报告自行使用外用胭脂虫染料眼药水后的严重眼部并发症及其处理方法。 报告一例55岁男性患者，其左眼使用外用胭脂虫眼药水后发生严重眼表损伤。对胭脂虫眼药水的活性成分进行了成分研究。患者自述患眼视力下降，眼部检查发现角膜完全擦伤、结膜瘢痕形成和睑球粘连。患者需要立即进行眼表清洁和冲洗。给予局部皮质类固醇治疗并频繁使用润滑剂。对取回的局部用药材料进行气相色谱/质谱分析，发现存在酸。患者视力从治疗前的20/200提高到治疗后的20/25。外用胭脂虫眼药水可能会导致严重的眼部损伤。公众教育、早期识别此类损伤并及时干预可预防眼附属器的永久性损伤。
