Keratouveitis caused by Euphorbia plant sap.
The milky sap or latex of Euphorbia plant is highly toxic and an irritant to the skin and eye. This report illustrates the spectrum of ocular inflammation caused by accidental inoculation of latex of Euphorbia plant. Three patients presented with accidental ocular exposure to the milky sap of Euphorbia species of recent onset. The initial symptoms in all cases were severe burning sensation with blurring of vision. Visual acuity reduced from 20/60 to counting fingers. Clinical findings varied from kerato-conjunctivitis, mild to severe corneal edema, epithelial defects, anterior uveitis and secondary elevated intraocular pressure. All symptoms and signs had resolved by 10-14 days with active supportive medication. People who handle Euphorbia plants should wear eye protection. It is always advisable to ask the patient to bring a sample of the plant for identification.
Basak
Samar K
SK
Disha Eye Hospitals and Research Centre, Barrackpore, Kolkata, West Bengal, India. basak_sk@hotmail.com
Bakshi
Partho K
PK
Basu
Sabitabrata
S
Basak
Soham
S
D000369:Aged, 80 and over; D003316:Corneal Diseases / Q000188:drug therapy / Q000209:etiology; D015715:Corneal Edema / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D019573:Epithelium, Corneal; D028481:Euphorbia / Q000145:classification / Q000378:metabolism*; D005260:Female; D051639:Gardening; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000188:drug therapy / Q000209:etiology; D053147:Plant Exudates / Q000009:adverse effects*; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000209:etiology*; D014786:Vision Disorders / Q000188:drug therapy / Q000209:etiology
D053147:Plant Exudates