Limits...
Keratouveitis caused by Euphorbia plant sap.

Basak SK, Bakshi PK, Basu S, Basak S - Indian J Ophthalmol (2009 Jul-Aug)

Bottom Line: Visual acuity reduced from 20/60 to counting fingers.All symptoms and signs had resolved by 10-14 days with active supportive medication.It is always advisable to ask the patient to bring a sample of the plant for identification.

View Article: PubMed Central - PubMed

Affiliation: Disha Eye Hospitals and Research Centre, Barrackpore, Kolkata, West Bengal, India. basak_sk@hotmail.com

ABSTRACT
The milky sap or latex of Euphorbia plant is highly toxic and an irritant to the skin and eye. This report illustrates the spectrum of ocular inflammation caused by accidental inoculation of latex of Euphorbia plant. Three patients presented with accidental ocular exposure to the milky sap of Euphorbia species of recent onset. The initial symptoms in all cases were severe burning sensation with blurring of vision. Visual acuity reduced from 20/60 to counting fingers. Clinical findings varied from kerato-conjunctivitis, mild to severe corneal edema, epithelial defects, anterior uveitis and secondary elevated intraocular pressure. All symptoms and signs had resolved by 10-14 days with active supportive medication. People who handle Euphorbia plants should wear eye protection. It is always advisable to ask the patient to bring a sample of the plant for identification.

Show MeSH

Related in: MedlinePlus

(a) Parts of Euphorbia milii houseplant (crown-of-thorns); white milky sap visible at the cut end; (b and c) Punctate epithelial lesions, corneal edema, Descemet's folds and moderate anterior uveitis – one day after exposure to E. milii sap
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2712704&req=5

Figure 0003: (a) Parts of Euphorbia milii houseplant (crown-of-thorns); white milky sap visible at the cut end; (b and c) Punctate epithelial lesions, corneal edema, Descemet's folds and moderate anterior uveitis – one day after exposure to E. milii sap

Mentions: A 54-year-old woman was pruning her Euphorbia milii (crown-of-thorns) houseplant [Fig. 3a] when she felt a stinging sensation as a drop of sap entered her LE. She did not wash her eyes immediately. Fifteen minutes later she felt severe pain, blepharospasm and dimness of vision in the LE.


Keratouveitis caused by Euphorbia plant sap.

Basak SK, Bakshi PK, Basu S, Basak S - Indian J Ophthalmol (2009 Jul-Aug)

(a) Parts of Euphorbia milii houseplant (crown-of-thorns); white milky sap visible at the cut end; (b and c) Punctate epithelial lesions, corneal edema, Descemet's folds and moderate anterior uveitis – one day after exposure to E. milii sap
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2712704&req=5

Figure 0003: (a) Parts of Euphorbia milii houseplant (crown-of-thorns); white milky sap visible at the cut end; (b and c) Punctate epithelial lesions, corneal edema, Descemet's folds and moderate anterior uveitis – one day after exposure to E. milii sap
Mentions: A 54-year-old woman was pruning her Euphorbia milii (crown-of-thorns) houseplant [Fig. 3a] when she felt a stinging sensation as a drop of sap entered her LE. She did not wash her eyes immediately. Fifteen minutes later she felt severe pain, blepharospasm and dimness of vision in the LE.

Bottom Line: Visual acuity reduced from 20/60 to counting fingers.All symptoms and signs had resolved by 10-14 days with active supportive medication.It is always advisable to ask the patient to bring a sample of the plant for identification.

View Article: PubMed Central - PubMed

Affiliation: Disha Eye Hospitals and Research Centre, Barrackpore, Kolkata, West Bengal, India. basak_sk@hotmail.com

ABSTRACT
The milky sap or latex of Euphorbia plant is highly toxic and an irritant to the skin and eye. This report illustrates the spectrum of ocular inflammation caused by accidental inoculation of latex of Euphorbia plant. Three patients presented with accidental ocular exposure to the milky sap of Euphorbia species of recent onset. The initial symptoms in all cases were severe burning sensation with blurring of vision. Visual acuity reduced from 20/60 to counting fingers. Clinical findings varied from kerato-conjunctivitis, mild to severe corneal edema, epithelial defects, anterior uveitis and secondary elevated intraocular pressure. All symptoms and signs had resolved by 10-14 days with active supportive medication. People who handle Euphorbia plants should wear eye protection. It is always advisable to ask the patient to bring a sample of the plant for identification.

Show MeSH
Related in: MedlinePlus