[Disintegration of the cornea requiring total grafting in a case of acute gonorrhea infection].
Presented is a case of an acute gonorrhea infection of the eye with disintegration of the cornea which required a nearly immediate operation of corneal transplantation "from limbus to limbus". The patient, aged 17 years was admitted to the hospital showing bilateral acute purulent conjunctivitis and central necrosis of the left cornea with suspicion of endophthalmitis. In spite of a massive pharmacological treatment (together with intravitreal cephazolin) the cornea disintegrated from hour to hour. In atypical conditions, in an eye with acute inflammation a corneal grafting was performed together with cataract extraction and anterior vitrectomy. The grafting was "from limbus to limbus". The visual acuity of the eye with transplantation improved--with correction of +10.0 Dsph up to 1.0 in the period of 3 months.
Fryczkowski
A W
AW
Kliniki Okulistycznej Uniwesytetu Stanu Ohio w Columbus, 43210-1228.
D000208:Acute Disease; D000293:Adolescent; D003315:Cornea / Q000473:pathology; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D016039:Corneal Transplantation; D015818:Eye Infections, Bacterial / Q000150:complications*; D006069:Gonorrhea / Q000150:complications*; D006801:Humans; D008297:Male; D009336:Necrosis; D016896:Treatment Outcome; D014792:Visual Acuity
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