Corneal laceration caused by river crab

Naidu Vinuthinee,1,2 Anuar Azreen-Redzal,1 Jaafar Juanarita,1 Embong Zunaina2 1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, 2Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia Abstract: A 5-year-old boy presented with...

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Autores principales: Vinuthinee N, Azreen-Redzal A, Juanarita J, Zunaina E
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:07414047f76c4f05aa01bd8e167ddb402021-12-02T06:16:55ZCorneal laceration caused by river crab1177-5483https://doaj.org/article/07414047f76c4f05aa01bd8e167ddb402015-01-01T00:00:00Zhttp://www.dovepress.com/corneal-laceration-caused-by-river-crab-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Naidu Vinuthinee,1,2 Anuar Azreen-Redzal,1 Jaafar Juanarita,1 Embong Zunaina2 1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, 2Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia Abstract: A 5-year-old boy presented with right eye pain associated with tearing and photophobia of 1-day duration. He gave a history of playing with a river crab when suddenly the crab clamped his fingers. He attempted to fling the crab off, but the crab flew and hit his right eye. Ocular examination revealed a right eye corneal ulcer with clumps of fibrin located beneath the corneal ulcer and 1.6 mm level of hypopyon. At presentation, the Seidel test was negative, with a deep anterior chamber. Culture from the corneal scrapping specimen grew Citrobacter diversus and Proteus vulgaris, and the boy was treated with topical gentamicin and ceftazidime eyedrops. Fibrin clumps beneath the corneal ulcer subsequently dislodged, and revealed a full-thickness corneal laceration wound with a positive Seidel test and shallow anterior chamber. The patient underwent emergency corneal toileting and suturing. Postoperatively, he was treated with oral ciprofloxacin 250 mg 12-hourly for 1 week, topical gentamicin, ceftazidime, and dexamethasone eyedrops for 4 weeks. Right eye vision improved to 6/9 and 6/6 with pinhole at the 2-week follow-up following corneal suture removal. Keywords: corneal ulcer, pediatric trauma, ocular injuryVinuthinee NAzreen-Redzal AJuanarita JZunaina EDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 203-206 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Vinuthinee N
Azreen-Redzal A
Juanarita J
Zunaina E
Corneal laceration caused by river crab
description Naidu Vinuthinee,1,2 Anuar Azreen-Redzal,1 Jaafar Juanarita,1 Embong Zunaina2 1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, 2Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia Abstract: A 5-year-old boy presented with right eye pain associated with tearing and photophobia of 1-day duration. He gave a history of playing with a river crab when suddenly the crab clamped his fingers. He attempted to fling the crab off, but the crab flew and hit his right eye. Ocular examination revealed a right eye corneal ulcer with clumps of fibrin located beneath the corneal ulcer and 1.6 mm level of hypopyon. At presentation, the Seidel test was negative, with a deep anterior chamber. Culture from the corneal scrapping specimen grew Citrobacter diversus and Proteus vulgaris, and the boy was treated with topical gentamicin and ceftazidime eyedrops. Fibrin clumps beneath the corneal ulcer subsequently dislodged, and revealed a full-thickness corneal laceration wound with a positive Seidel test and shallow anterior chamber. The patient underwent emergency corneal toileting and suturing. Postoperatively, he was treated with oral ciprofloxacin 250 mg 12-hourly for 1 week, topical gentamicin, ceftazidime, and dexamethasone eyedrops for 4 weeks. Right eye vision improved to 6/9 and 6/6 with pinhole at the 2-week follow-up following corneal suture removal. Keywords: corneal ulcer, pediatric trauma, ocular injury
format article
author Vinuthinee N
Azreen-Redzal A
Juanarita J
Zunaina E
author_facet Vinuthinee N
Azreen-Redzal A
Juanarita J
Zunaina E
author_sort Vinuthinee N
title Corneal laceration caused by river crab
title_short Corneal laceration caused by river crab
title_full Corneal laceration caused by river crab
title_fullStr Corneal laceration caused by river crab
title_full_unstemmed Corneal laceration caused by river crab
title_sort corneal laceration caused by river crab
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/07414047f76c4f05aa01bd8e167ddb40
work_keys_str_mv AT vinuthineen corneallacerationcausedbyrivercrab
AT azreenredzala corneallacerationcausedbyrivercrab
AT juanaritaj corneallacerationcausedbyrivercrab
AT zunainae corneallacerationcausedbyrivercrab
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