Iris Prolapse from Corneal Ulcer: Treatment by Conjunctival Flap

Introduction: The harmful effect of the herbal medicine to the eye has not been well reported in the literature.Objective: To report a case of bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap.Case: A 46-year-old Fijian man initially presented with bilateral conjunctivitis, which was thought to be an allergic response to the use of herbal medicine. Vision at initial presentation was normal and he was treated conservatively. Upon review a week later, his vision had decreased to light perception in both eyes. The examination revealed bilateral corneal perforation with iris prolapse, which was then treated with a full thickness conjunctival flap in both eyes in the same sitting. Upon review at 3 weeks of intervention, his vision had improved to hand motions in the right eye and 6/60 in the left. The anterior chamber was formed on both sides. Conclusion: This case illustrates that the use of herbal medicine can cause corneal melting and subsequently perforations and this can be treated with a conjunctival flap.DOI: http://dx.doi.org/10.3126/nepjoph.v6i2.11716Nepal J Ophthalmol 2014; 6(12): 237-239

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Graft Failure as a Secondary Complication of Herpetic Neurotrophic Corneal Ulcer Treatment in a Patient With a History of Descemet's Stripping Automated Endothelial Keratoplasty and Penetrating Keratoplasty: A Case Report and Review

Optometry - Journal of the American Optometric Association ◽

10.1016/j.optm.2011.04.045 ◽

2011 ◽

Vol 82 (6) ◽

pp. 365

Author(s):

Marc Lay ◽

Jeffrey T. Joy

Keyword(s):

Case Report ◽

Graft Failure ◽

Penetrating Keratoplasty ◽

Corneal Ulcer ◽

Endothelial Keratoplasty ◽

History Of ◽

Ulcer Treatment ◽

Secondary Complication

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Erratum: Amniotic membrane transplantation for infectious corneal ulcer treatment: a cohort retrospective study

Medical Journal of Indonesia ◽

10.13181/mji.er.215430 ◽

2021 ◽

Vol 30 (1) ◽

pp. 86

Author(s):

Vega Casalita ◽

Rina La Distia Nora ◽

Lukman Edwar ◽

Made Susiyanti ◽

Ratna Sitompul

Keyword(s):

Retrospective Study ◽

Amniotic Membrane ◽

Corneal Ulcer ◽

Amniotic Membrane Transplantation ◽

Ulcer Treatment

[This corrects the article DOI: 10.13181/mji.oa.203849]

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Topical Natamycin Versus Voriconazole for Fungal Corneal Ulcer

50 Studies Every Ophthalmologist Should Know ◽

10.1093/med/9780190050726.003.0004 ◽

2020 ◽

pp. 21-26

Author(s):

Alan D. Penman ◽

Kimberly W. Crowder ◽

William M. Watkins

Keyword(s):

Clinical Trial ◽

Visual Acuity ◽

Topical Treatment ◽

South India ◽

Corneal Ulcer ◽

Fungal Keratitis ◽

Treatment Trial ◽

Active Comparator ◽

The Difference ◽

Ulcer Treatment

The Mycotic Ulcer Treatment Trial (MUTT) was a randomized, active comparator–controlled, double-masked, clinical trial carried out in South India to determine whether topical treatment with natamycin gave better clinical and microbiological outcomes than voriconazole in patients with smear-positive filamentous fungal keratitis and visual acuity of 20/40 to 20/400. Treatments were applied topically every hour while awake until reepithelialization, then 4 times daily for at least 3 weeks. The study showed that natamycin treatment was associated with significantly better clinical and microbiological outcomes than voriconazole treatment for smear-positive filamentous fungal keratitis, with much of the difference attributed to improved results in Fusarium cases.

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The use of porcine urinary bladder matrix ( UBM ) to repair a perforated corneal ulcer with iris prolapse in a horse

Equine Veterinary Education ◽

10.1111/eve.12779 ◽

2017 ◽

Vol 31 (4) ◽

pp. 172-178 ◽

Cited By ~ 3

Author(s):

A. M. Davis ◽

C. M. Riggs ◽

D. W. Y. Chow

Keyword(s):

Urinary Bladder ◽

Corneal Ulcer ◽

Urinary Bladder Matrix ◽

Iris Prolapse

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Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient

Case Reports in Ophthalmological Medicine ◽

10.1155/2021/9014667 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Jamie Dietze ◽

Thomas Mauger

Keyword(s):

Corneal Ulcer ◽

Immunocompromised Patient ◽

Streptococcus Viridans ◽

Causative Organism ◽

Common Condition ◽

Comorbid Conditions ◽

Conjunctival Flap ◽

Flap Procedure ◽

Mucous Discharge ◽

Chemotherapy Agents

Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia dentocariosa. It also looks at the unique considerations in keratitis presentations for patients immunocompromised by chemotherapy agents. Our patient is a 58 yo female undergoing chemotherapy with folinic acid, fluorouracil, irinotecan, and panitumumab who presented with several days of a red, painful right eye with mucous discharge. Cultures were positive for Rothia dentocariosa and Streptococcus viridans. The patient ultimately underwent a conjunctival flap procedure as medical therapy with proper oral and topical antibiotics failed to resolve keratitis. This case is unique as previously, only a couple of cases of keratitis caused by Rothia dentocariosa have been reported and none of those patients were immunocompromised nor failed antibiotic therapy.

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Chryseobacterium indologenes Keratitis: Successful Treatment of Multidrug-Resistant Strain

Case Reports in Ophthalmological Medicine ◽

10.1155/2021/5527775 ◽

2021 ◽

Vol 2021 ◽

pp. 1-3

Author(s):

Ivan J. Lee ◽

Thomas Mauger

Keyword(s):

Retinal Detachment ◽

Vision Loss ◽

Corneal Ulcer ◽

Multidrug Resistant ◽

Monocular Vision ◽

Chryseobacterium Indologenes ◽

Conjunctival Flap ◽

History Of ◽

Susceptibility Profiles ◽

Multidrug Resistant Strain

A 72-year-old male with history of monocular vision with complete vision loss in his right eye from previous retinal detachment presented with 20/200 vision in the left eye with a corneal ulcer. Culture was obtained, and the patient was started on fortified tobramycin, fortified vancomycin, and amphotericin. Despite the antibiotics, the patient did not significantly improve, after which another culture was obtained before the patient was taken to the surgery for cryotherapy and a partial conjunctival flap. The culture identified Chryseobacterium indologenes. There have been fewer than a handful of cases reported in the last three decades with different antibiotic susceptibility profiles. Our patient was successfully treated with ciprofloxacin and ceftazidime with the final vision of 20/40.

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