Herpetic keratouveitis mixed with bilateral Pseudomonas corneal ulcers in vitamin A deficiency
Journal
Journal of the Formosan Medical Association = Taiwan yi zhi
Journal Volume
114
Journal Issue
2
Date Issued
2015-02
Author(s)
Abstract
A 56-year-old woman complained of blurred vision and pain in her right eye for several days. Slit lamp examination revealed a large epithelial defect and disciform stromal edema with ring infiltration in her right cornea. Unfortunately, hypopyon and purulent discharge subsequently developed in both eyes. Herpetic keratouveitis and a superimposed pseudomonas infection were diagnosed. A systemic review on the patient showed malnutrition due to her dietary preference and vegetarianism. After the infection was controlled, bilateral epithelial defects persisted for a long time. We performed amniotic membrane transplantation on both eyes and the clinical status improved with administration of vitamin and protein supplements. Although rare in Taiwan, vitamin A deficiency should be kept in mind when conjunctival and corneal xerosis occurred. Vitamin A supplements are suggested because of the increased susceptibility to infection in patients with this clinical status.
Subjects
corneal ulcer; herpetic keratouveitis; vegetarian; vitamin A deficiency; xerophthalmia
SDGs
Type
journal article