title: Deep anterior lamellar keratoplasty in a patient with descemetocele following gonococcal keratitis.
abstract: OBJECTIVE
  To describe the presentation and subsequent management of a case of severe gonococcal keratitis in a young man.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A young man presented with severe gonococcal keratitis. Topical and systemic antibiotics were given with no improvement, and progressive corneal melting was noted. Deep lamellar keratoplasty was performed. The clarity and state of corneal graft and the postoperative visual acuity were noted.
  
  
  RESULTS
  At 6 months posttreatment, the graft was clear, and no recurrence of infection was noticed. Corrected visual acuity was 20/25.
  
  
  CONCLUSIONS
  Deep lamellar keratoplasty should be considered as a therapeutic option in patients with severe gonococcal keratitis that does not respond to antibiotic treatment.
authors.affiliation: Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751.
authors.forename: Louis
authors.initials: L
authors.lastname: Tong
authors.forename: Donald T H
authors.initials: DT
authors.lastname: Tan
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Abańo
authors.forename: Li
authors.initials: L
authors.lastname: Lim
mesh_terms: D000208:Acute Disease; D000328:Adult; D016039:Corneal Transplantation / Q000379:methods*; D003886:Descemet Membrane / Q000473:pathology / Q000601:surgery*; D015818:Eye Infections, Bacterial / Q000382:microbiology / Q000601:surgery*; D006069:Gonorrhea / Q000382:microbiology / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007634:Keratitis / Q000382:microbiology / Q000601:surgery*; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D014792:Visual Acuity