关键词: calotropis chemical injury corneal injury ocular emergency vision

来  源:   DOI:10.7759/cureus.63851   PDF(Pubmed)

Abstract:
Calotropis is a small perennial plant that is native to regions with tropical climates in countries like India, where it is found throughout the country. The leaves of the Calotropis plant have been used as an offering to gods since ancient times. Accidental contact with the sap of the plant, called latex, can lead to eye injury and affect vision significantly if left untreated. However, if treated in time and appropriately, vision can be restored. A 30-year-old gentleman reported to emergency medicine with accidental contact in his right eye with Calotropis plant sap. He had complaints of blurring of vision, foreign body sensation, and intolerance to light. On ocular examination, there was conjunctival congestion with corneal edema with Descemet\'s membrane folds. The best-corrected visual acuity (BCVA) in the right eye was 6/18 parts not improving on the pinhole. The patient was started on systemic and topical antibiotics, topical steroids, and lubricating drops immediately. After two months of treatment, the vision improved gradually, the BCVA in the right eye was 6/6, and the patient was asymptomatic. This is a case report of an uncommon injury due to plant sap, with grave consequences if left untreated. Early intervention and prompt medical management led to recovery in a short time period.
摘要:
Calotropis是一种小型多年生植物,原产于印度等国家的热带气候地区,它在全国各地都有。Calotropis植物的叶子自古以来就被用作神灵的祭品。意外接触植物的汁液,叫做乳胶,如果不及时治疗,可能会导致眼睛损伤并显著影响视力。然而,如果治疗及时和适当,视力可以恢复。一位30岁的绅士因右眼意外接触Calotropis植物汁液而向急诊医学报告。他抱怨视力模糊,异物感,不容忍光。在眼部检查中,结膜充血伴角膜水肿伴Descemet膜褶皱。右眼的最佳矫正视力(BCVA)为6/18部分,针孔未改善。患者开始全身和局部使用抗生素,局部类固醇,和润滑立即下降。经过两个月的治疗,视力逐渐改善,右眼BCVA为6/6,患者无症状.这是一例因植物汁液引起的罕见伤害的病例报告,如果不及时治疗,后果很严重。早期干预和及时的医疗管理可在短时间内恢复。
公众号