title: Acute Bilateral Toxic Endotheliitis Following Alcohol Consumption.
abstract: A 28-year-old male farmer presented to our emergency service with bilateral painful visual loss for the past 7 days that occurred suddenly after alcohol consumption. Examination showed bilateral central corneal epithelial defects, 3+ stromal edema, and cortical cataracts. After treatment with oral and topical corticosteroids for 4 weeks the corneal edema had subsided completely with mild anterior stromal scarring. Rapid progression of cataract to intumescent stage warranted sequential cataract surgeries 1 and 2 months after first presentation. Postoperatively, visual acuity recovered to 20/20 and 20/30 in the right and left eye respectively. This case highlights the extremely rare presentation of bilateral alcohol-induced toxic endothelitis, which recovered after intensive corticosteroid therapy.
authors: a Cornea and Anterior Segment Service, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus , Hyderabad , India.
authors: Abhishek
authors: A
authors: Ranjan
authors: a Cornea and Anterior Segment Service, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus , Hyderabad , India.
authors: Somasheila I
authors: SI
authors: Murthy
authors: b Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care (GPR ICARE) , Hyderabad , India.
authors: Varsha M
authors: VM
authors: Rathi
authors: a Cornea and Anterior Segment Service, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus , Hyderabad , India.
authors: Virender S
authors: http://orcid.org/0000-0002-8229-4158
authors: VS
authors: Sangwan
mesh_terms: D000208:Acute Disease; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002386:Cataract / Q000139:chemically induced* / Q000175:diagnosis; D002387:Cataract Extraction; D015715:Corneal Edema / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D004338:Drug Combinations; D004728:Endothelium, Corneal / Q000187:drug effects* / Q000473:pathology; D000431:Ethanol / Q000633:toxicity*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007634:Keratitis / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D015242:Ofloxacin / Q000627:therapeutic use; D010276:Parasympatholytics / Q000627:therapeutic use; D011239:Prednisolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D014326:Tropanes / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D005938:Glucocorticoids; D010276:Parasympatholytics; D014326:Tropanes; D000431:Ethanol; C009935:prednisolone acetate; C100236:homatropine; D011239:Prednisolone; D015242:Ofloxacin; D008775:Methylprednisolone
keywords: Alcohol keratitis; binge drinking; corneal edema; intumescent cataract; toxic endothelitis