Department of Emergency, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Laboratory, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Middle East Afr J Ophthalmol. 2022 Nov 23;29(1):63-65. doi: 10.4103/meajo.meajo_313_21. eCollection 2022 Jan-Mar.
To report a case of toxic keratopathy secondary to the self-application of seawater eye drops. A 60-year-old male who presented with unexplained unilateral decrease in vision and corneal thinning. Best-corrected visual acuity was 20/400 OD, slit-lamp examination indicated diffuse corneal edema with central thinning, intact sensation, and no vascularization. Laboratory analysis of the eye drops in conjunction with clinical symptoms and findings was consistent with toxic keratopathy. Toxic keratopathy can masquerade as the other forms of keratopathy, and a thorough history taking and laboratory analysis may help elucidate the diagnosis and avoid significant visual morbidity.
报告 1 例因自行应用海水眼药水引起的中毒性角膜炎病例。患者为 60 岁男性，因单侧不明原因视力下降和角膜变薄就诊。最佳矫正视力为右眼 20/400，裂隙灯检查显示弥漫性角膜水肿伴中央变薄，知觉完整，无血管化。结合临床症状和检查结果对眼药水进行实验室分析，符合中毒性角膜炎的诊断。中毒性角膜炎可能伪装为其他类型的角膜炎，详细的病史采集和实验室分析有助于明确诊断，避免严重的视力丧失。
