A mysterious case of bilateral stromal keratitis
Objectives: To describe a rare case of bilateral stromal keratitis and demonstrate the effectiveness of penetrating keratoplasty in the management of toxocara keratitis. Method: This is a case report. Results: A 53-year-old male farmer had a 10-month history of bilateral corneal opacity, photoph...
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| Format: | Article |
| Language: | English |
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Philippine Academy of Ophthalmology
2006-06-01
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| Series: | Philippine Journal of Ophthalmology |
| Online Access: | https://paojournal.com/index.php/pjo/article/view/488 |
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| author | Michelle D. Lingao, MD Ruben Lim Bon Siong, MD Mario J. Valenton, MD |
| author_facet | Michelle D. Lingao, MD Ruben Lim Bon Siong, MD Mario J. Valenton, MD |
| author_sort | Michelle D. Lingao, MD |
| collection | DOAJ |
| description | Objectives: To describe a rare case of bilateral stromal keratitis and demonstrate the effectiveness of penetrating keratoplasty in the management of toxocara keratitis.
Method: This is a case report.
Results: A 53-year-old male farmer had a 10-month history of bilateral corneal opacity, photophobia, redness, foreign body sensation, and eye pain. The diagnosis was central microbial keratitis with the following etiologies considered: Epstein-Barr virus, herpes simplex, fungal, syphilis, tuberculosis (TB), myobacteria other than TB, and acanthamoeba. Despite treatment with topical steroids and antibiotics, both eyes worsened. Penetrating keratoplasty markedly improved the patient’s visual acuity. Histopathology of the left corneal button revealed toxocara keratitis.
Conclusion: Good history taking, complete systemic and ocular examinations, and a histopathology of the corneal tissues are vital to the diagnosis of toxocara keratitis. Penetrating keratoplasty was shown to be effective in its management. Emphasis is given on prevention to decrease the incidence of the disease. |
| format | Article |
| id | doaj-art-e53e11dafc5042d7ad98d90a99e36fc2 |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2006-06-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-e53e11dafc5042d7ad98d90a99e36fc22025-08-20T02:40:51ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592006-06-013114041488A mysterious case of bilateral stromal keratitisMichelle D. Lingao, MD0Ruben Lim Bon Siong, MD1Mario J. Valenton, MD2Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, PhilippinesObjectives: To describe a rare case of bilateral stromal keratitis and demonstrate the effectiveness of penetrating keratoplasty in the management of toxocara keratitis. Method: This is a case report. Results: A 53-year-old male farmer had a 10-month history of bilateral corneal opacity, photophobia, redness, foreign body sensation, and eye pain. The diagnosis was central microbial keratitis with the following etiologies considered: Epstein-Barr virus, herpes simplex, fungal, syphilis, tuberculosis (TB), myobacteria other than TB, and acanthamoeba. Despite treatment with topical steroids and antibiotics, both eyes worsened. Penetrating keratoplasty markedly improved the patient’s visual acuity. Histopathology of the left corneal button revealed toxocara keratitis. Conclusion: Good history taking, complete systemic and ocular examinations, and a histopathology of the corneal tissues are vital to the diagnosis of toxocara keratitis. Penetrating keratoplasty was shown to be effective in its management. Emphasis is given on prevention to decrease the incidence of the disease.https://paojournal.com/index.php/pjo/article/view/488 |
| spellingShingle | Michelle D. Lingao, MD Ruben Lim Bon Siong, MD Mario J. Valenton, MD A mysterious case of bilateral stromal keratitis Philippine Journal of Ophthalmology |
| title | A mysterious case of bilateral stromal keratitis |
| title_full | A mysterious case of bilateral stromal keratitis |
| title_fullStr | A mysterious case of bilateral stromal keratitis |
| title_full_unstemmed | A mysterious case of bilateral stromal keratitis |
| title_short | A mysterious case of bilateral stromal keratitis |
| title_sort | mysterious case of bilateral stromal keratitis |
| url | https://paojournal.com/index.php/pjo/article/view/488 |
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