title: Anaphylactic shock after fluorescein staining corneal abrasion. A case report.
abstract: A 34-year-old Lebanese man presented with photophobia, tearing, and reduced vision in the left eye, a few hours after being accidentally hit in the eye with a fingernail. The cornea in the left eye showed corneal defect . About three minutes after receiving topical fluorescein in this eye, the patient developed syncope and anaphylactic shock. After immediate reanimation, the patient regained consciousness. When specifically asked, he reported a three-month history of urticaria to the right side of his neck and nose. The possible pathophysiology involves an underlying IgE-mediated mechanism. Ophthalmologists should be aware of complications associated with topical fluorescein.
authors.affiliation: dieudonne_Kaimbo@yahoo.com
authors.forename: Wa Kaimbo D
authors.initials: WK
authors.lastname: Kaimbo
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced* / Q000175:diagnosis; D065306:Corneal Injuries; D005131:Eye Injuries / Q000175:diagnosis*; D019793:Fluorescein / Q000008:administration & dosage / Q000009:adverse effects*; D005456:Fluorescent Dyes / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009883:Ophthalmic Solutions
chemical_list: D005456:Fluorescent Dyes; D009883:Ophthalmic Solutions; D019793:Fluorescein