title: [Accidental staining of corneal nerves by methylene blue].
abstract: A 10-year-old child presented after accidental exposure of the left eye to a blue hair dye containing methylene blue. Mild ocular surface changes and a selective blue staining of the usually invisible corneal nerve fibre bundles were present. Corneal sensitivity was reduced. Despite copious lubrication a transient neurotrophic keratitis developed which did not resolve until corneal sensitivity became normal 2 weeks later. Association of mild chemical burns with neurotrophic keratitis is unusual but is of high clinical relevance as keratitis is a vision-threatening complication.
authors.affiliation: Abteilung für Augenheilkunde, Landeskrankenhaus Feldkirch, Österreich. Silvia.Peter@LKHF.at
authors.forename: S
authors.initials: S
authors.lastname: Peter
authors.forename: E
authors.initials: E
authors.lastname: Reichart
authors.forename: L
authors.initials: L
authors.lastname: Poyntner
authors.forename: S
authors.initials: S
authors.lastname: Mennel
mesh_terms: D002057:Burns, Chemical / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002648:Child; D003315:Cornea / Q000187:drug effects / Q000294:innervation; D003389:Cranial Nerve Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D005126:Eye Burns / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D006202:Hair Dyes / Q000737:chemistry / Q000506:poisoning; D006801:Humans; D007634:Keratitis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008751:Methylene Blue / Q000506:poisoning*; D009882:Ophthalmic Nerve / Q000187:drug effects*; D016896:Treatment Outcome
chemical_list: D006202:Hair Dyes; D008751:Methylene Blue