Kok Li Teng, Bizrah Mukhtar, Cordeiro M Francesca, Din Nizar
Moorfields Eye Hospital NHS Foundation Trust, Moorfields Eye Hospital, London, UK.
Imperial College Healthcare NHS Trust, Western Eye Hospital, London, UK.
Case Rep Ophthalmol. 2024 Jul 3;15(1):542-547. doi: 10.1159/000539419. eCollection 2024 Jan-Dec.
We aimed to describe a case of bilateral keratoconjunctivitis after exposure to the toxic sap of .
A 76-year-old gentleman presented after exposure to whilst he was gardening. He had 6/12 visual acuity in his right eye, and 6/4 in his left. Examination revealed marked periocular dermatitis, conjunctival injection and corneal oedema in the right eye with diffuse punctate epithelial staining. He was treated with ocular irrigation, topical steroids, antibiotics, cycloplegics and lubricants. Over 48 h, his left eye started to become symptomatic. He developed bilateral corneal epithelial defects and anterior chamber inflammation. His visual acuity worsened to 6/36 right and 6/24 left. At his 3-week follow-up, there was marked improvement in the resolution of the toxic keratoconjunctivitis in both eyes.
Toxic sap from can cause severe keratoconjunctivitis. Irrigation of both eyes despite unilateral symptoms and early follow-up should be considered signs of toxicity may only become evident after 24-48 h.
我们旨在描述一例接触[植物名称]有毒汁液后发生双侧角结膜炎的病例。
一名76岁男性在园艺工作时接触[植物名称]后就诊。他右眼视力为6/12，左眼视力为6/4。检查发现右眼有明显的眼周皮炎、结膜充血和角膜水肿，伴有弥漫性点状上皮染色。给予眼部冲洗、局部使用类固醇、抗生素、睫状肌麻痹剂和润滑剂治疗。48小时内，他的左眼开始出现症状。他出现了双侧角膜上皮缺损和前房炎症。他的视力恶化至右眼6/36，左眼6/
