A mysterious case of bilateral stromal keratitis
Philippine Journal of Ophthalmology
;
: 40-42, 2006.
Article
in English
| WPRIM
| ID: wpr-632331
ABSTRACT
OBJECTIVES:
To describe a rare case of bilateral stromal keratitis and demonstrate the effectiveness of penetrating keratoplasty in the management of toxocara keratitis.METHOD:
This is a case report.RESULTS:
A 53-year-old male farmer had a 10-month history of bilateral corneal opacity, photophobia, redness, foreign body sensation, and eye pain. The diagnosis was central microbial keratitis with the following etiologies considered Epstein-Barr virus, herpes simplex, fungal, syphilis, tuberculosis (TB), myobacteria other than TB, and acanthamoeba. Despite treatment with topical steroids and antibiotics, both eyes worsened. Penetrating keratoplasty markedly improved the patient's visual acuity. Histopathology of the left corneal button revealed toxocara keratitis.CONCLUSION:
Good history taking, complete systemic and ocular examinations, and a histopathology of the corneal tissues are vital to the diagnosis of toxocara keratitis. Penetrating keratoplasty was shown to be effective in its management. Emphasis is given on prevention to decrease the incidence of the disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Case Reports
/
Corneal Transplantation
/
Keratitis
Limits:
Humans
/
Male
Language:
English
Journal:
Philippine Journal of Ophthalmology
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS