1. Emina Alimanović Halilović, Klinika za očne bolesti, KCUS,
Federation of Bosnia and Herzegovina
, Bosnia and Herzegovina
The goal of our paper is to present the case of a successful treatment of corneal ulcus with propagation to endophthalmitis, after the rigid gas permeable (RGP) contact lenses had been worn. The subject is myopic astigmatism corrected by means of lenses, which had been worn by the girl patient for 15 days before pain, the eye red and eye narrowing appeared. As the clinical image was getting worse with the administration of local peroral antibiotic therapy, the patient was referred to the Eye Clinic. At admission, we found the red eye with a voluminous central-paracentral ulcus, descementocela, with pus in the anterior chamber and dense vitreous body opacity. In the corneal scraping, on the lens surfaces and in lens water, through microbiological analyses, Pseudomonas aruginosa was found. After systemic and local therapy with cyclofloxacine was introduced, alongside other ophthalmological therapy, there appeared reduction of clinical signs and reparation of the cornea with formation of a voluminous scar – leucoma. A hard exudate remained paramacularly after the treatment was completed, visual acuity was 1,0 with correction. Timely and appropriate therapy for corneal ulcus with propagation to endophathalmitis may produce excellent outcomes.
Tematska oblast:
cornea, kontaktna sočiva
Uvodni rad:
Da
Datum:
30.03.2012.
Br. otvaranja:
816
