Ocular Inflammation Caused By Projection Of Euphorbia Sap
Published 2024 - 42nd Congress of the ESCRS
Reference: PO724 | Type: Poster | DOI: 10.82333/3p0s-hc16
Authors: Neama Bouhazzama* 1 , mathilde otsasso 2 , zineb morchid 3 , zyad Laftimi 2 , ghizlane daghouj 3 , loubna el maaloum 4 , bouchra Allali 4 , asmae elkettani 4
1pediatric ophtalmology,hospital 20 Aout 1953,casablanca,Morocco;pediatric ophtalmology,Hospital 20 Aout 1953,casablanca,Morocco;pediatric ophtalmology,hospital 20Aout 1953,casablanca,Morocco, 2pediatric ophtalmology,Hospital 20 Aout 1953,casablanca,Morocco, 3pediatric ophtalmology,hospital 20Aout 1953,casablanca,Morocco, 4pediatric ophtalmology,hospital 20Aout1953,casablanca,Morocco
Purpose
Eye damage caused by plant sap is unusual, but can lead to serious eye complications.
Setting
Ophtalmology departement, August 20th, 1954 Hopital Ibn Rochd University, Centre Faculty of Medicine and Pharmacy Casablanca Hassan II University, Morocco
Methods
case repport of ocular inflammation caused by plant sap from Euphorbia
Results
We report the clinical case of 56-year-old man without any ocular and medical history cosulted in the emergency for red, painful eyes with visual acuity decrease, following ocular projection of Euphorbia royleana sap. On admission, visual acuity 7/10 right eye and Counting fingers in the left eye. Ophthalmoscopic examination revealed conjunctival hyperemia, descemetic folds, extensive corneal ulcer, fluo (+) were noted.The rest of the examination was normal. The patient was put on antibiotic and cycloplegic eye drops, wetting agents, healing ointment and a bandage. Progression to day 7 showed very good visual recovery and good corneal healing.
Conclusions
Ocular projection of Euphorbia royleana sap causes eye burns, lacrimation, photophobia, conjunctivitis, keratitis, corneal edema and ulceration, and uveitis. The severity of ocular inflammation depends on the concentration of the sap and the length of time it remains in contact with ocular tissues. Treatment combines eyewash, topical antibiotics, cycloplegics and corticoids if inflammation occurs in the anterior chamber. Ocular damage caused by Euphorbia royleana sap can be serious, putting visual function at risk. Early and appropriate treatment can improve anatomical and functional results. Prevention remains important