Fungal Keratitis following the Application of Green Tea Bag Warm Compresses.

IF 0.6 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-05-09 eCollection Date: 2025-01-01 DOI:10.1159/000546055

Nir Erdinest, Abraham Solomon, Itay Lavy, Naomi London, Denise Wajnsztajn

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Abstract

Introduction: This case presents the development of severe fungal keratitis sourced from a green tea bag used as an ocular warm compress.

Case presentation: A 29-year-old healthy patient developed a deep stromal fungal keratitis in his left eye 2 weeks after utilizing a green tea bag as a warm compress to improve meibomian gland dysfunction that ruptured over his eye. Treatment of infection included topical and intrastromal injections of voriconazole. Topical treatment was maintained after hospital discharge for 10 months. Follow-ups were continued until the complete resolution of active infection. Final corrected visual acuity was 0.7 (LogMAR, 0.3 pinhole), and there was residual corneal scarring.

Conclusion: Warm compresses are a first-line treatment for meibomian gland disorders. Although application of warm tea bags over the eyelids appears to be an economical and accessible option, this method should be carefully considered due to the risk of fungal keratitis development.

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使用绿茶包热敷后的真菌性角膜炎。

本病例介绍了严重的真菌性角膜炎的发展，其来源是用作眼部热敷的绿茶包。病例介绍：一名29岁的健康患者在使用绿茶包热敷以改善眼部破裂的睑板腺功能障碍2周后，左眼发生深部间质真菌性角膜炎。感染的治疗包括局部和眼内注射伏立康唑。出院后维持局部治疗10个月。继续随访，直到活动性感染完全消除。最终矫正视力为0.7 （LogMAR， 0.3针孔），角膜瘢痕残留。结论：热敷是治疗睑板腺疾病的一线治疗方法。尽管将热茶包敷在眼睑上似乎是一种经济且方便的选择，但由于真菌性角膜炎发展的风险，这种方法应该仔细考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.