Exposure to Caper Spurge (Euphorbia lathyris) Sap: A Case of Ocular and Periorbital Toxicity.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-07-03 eCollection Date: 2024-01-01 DOI:10.1159/000539419

Li Teng Kok, Mukhtar Bizrah, M Francesca Cordeiro, Nizar Din

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引用次数: 0

Abstract

Introduction: We aimed to describe a case of bilateral keratoconjunctivitis after exposure to the toxic sap of Euphorbia lathyris.

Case report: A 76-year-old gentleman presented after exposure to E. lathyris whilst he was gardening. He had 6/12 visual acuity in his right eye, and 6/4 in his left. Examination revealed marked periocular dermatitis, conjunctival injection and corneal oedema in the right eye with diffuse punctate epithelial staining. He was treated with ocular irrigation, topical steroids, antibiotics, cycloplegics and lubricants. Over 48 h, his left eye started to become symptomatic. He developed bilateral corneal epithelial defects and anterior chamber inflammation. His visual acuity worsened to 6/36 right and 6/24 left. At his 3-week follow-up, there was marked improvement in the resolution of the toxic keratoconjunctivitis in both eyes.

Conclusion: Toxic sap from E. lathyris can cause severe keratoconjunctivitis. Irrigation of both eyes despite unilateral symptoms and early follow-up should be considered signs of toxicity may only become evident after 24-48 h.

查看原文本刊更多论文

接触莎草（Euphorbia lathyris）汁液：一例眼部和眶周中毒病例。

导言：我们旨在描述一例因接触矢车菊有毒汁液而引发的双侧角结膜炎：我们的目的是描述一例因接触矢车菊有毒汁液而导致双侧角结膜炎的病例：病例报告：一位 76 岁的先生在园艺活动中接触到 E. lathyris，随后便来就诊。他的右眼视力为 6/12，左眼视力为 6/4。检查发现他的右眼有明显的眼周皮炎、结膜注射和角膜水肿，并伴有弥漫性点状上皮染色。他接受了眼部冲洗、局部类固醇、抗生素、环磷酰胺和润滑剂治疗。48 小时后，他的左眼开始出现症状。他出现了双侧角膜上皮缺损和前房炎症。他的视力恶化到右眼 6/36，左眼 6/24。随访 3 周后，他双眼的中毒性角结膜炎症状明显好转：结论：E. lathyris 的有毒汁液可导致严重的角结膜炎。尽管出现了单侧症状，但仍应考虑对双眼进行冲洗，并及早进行随访，因为只有在 24-48 小时后毒性迹象才会变得明显。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.