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Acute ocular complications from self-administered topical kermes.

Al-Ghadeer HA - Middle East Afr J Ophthalmol (2010)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Anterior Segment Department, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

(a) Complete corneal abrasion using topical fluorescein hydrochloride. Note the black elevated lesion (arrow) secondary to the use of kermes (b) Inferior fornix of the left eye shows foreshortening and symblepharon formation (arrow)
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Figure 0001: (a) Complete corneal abrasion using topical fluorescein hydrochloride. Note the black elevated lesion (arrow) secondary to the use of kermes (b) Inferior fornix of the left eye shows foreshortening and symblepharon formation (arrow)

Mentions: Ophthalmic examination revealed best corrected visual acuity of 20/30 in the right eye (OD) and 20/200 in the left eye (OS). Examination of the OD was unremarkable except for mild cataract. Examination of OS revealed swelling and black pigmentation over the upper eyelid. There was conjunctival chemosis along with well-demarcated black elevated areas inferonasally. Evidence of early cicatrization involving the fornix of the conjunctiva and symblepharon formation were present. Some particulate material from the lower fornix was removed and submitted for chemical analysis. Administration of topical fluorescein hydrochloride revealed a large epithelial defect involving the whole cornea [Figure 1a]. There was no evidence of perilimbal ischemia. Intraocular pressure was normal in both eyes. Figure 1


Acute ocular complications from self-administered topical kermes.

Al-Ghadeer HA - Middle East Afr J Ophthalmol (2010)

(a) Complete corneal abrasion using topical fluorescein hydrochloride. Note the black elevated lesion (arrow) secondary to the use of kermes (b) Inferior fornix of the left eye shows foreshortening and symblepharon formation (arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2991462&req=5

Figure 0001: (a) Complete corneal abrasion using topical fluorescein hydrochloride. Note the black elevated lesion (arrow) secondary to the use of kermes (b) Inferior fornix of the left eye shows foreshortening and symblepharon formation (arrow)
Mentions: Ophthalmic examination revealed best corrected visual acuity of 20/30 in the right eye (OD) and 20/200 in the left eye (OS). Examination of the OD was unremarkable except for mild cataract. Examination of OS revealed swelling and black pigmentation over the upper eyelid. There was conjunctival chemosis along with well-demarcated black elevated areas inferonasally. Evidence of early cicatrization involving the fornix of the conjunctiva and symblepharon formation were present. Some particulate material from the lower fornix was removed and submitted for chemical analysis. Administration of topical fluorescein hydrochloride revealed a large epithelial defect involving the whole cornea [Figure 1a]. There was no evidence of perilimbal ischemia. Intraocular pressure was normal in both eyes. Figure 1

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Anterior Segment Department, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus