Iris rubeosis and hyphema caused by chemical injury due to household detergent

Chikako Suto,1,2 Tetsuya Ishizuka,1 Hiroshi Toshida31Department of Ophthalmology, Saiseikai Kurihashi Hospital, Kuki, Saitama, 2Department of Ophthalmology, Tokyo Women&#39;s Medical University, Shinjuku, Tokyo, 3Department of Ophthalmology, Juntendo University Shizuoka Hospital, Izunokuni,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Suto C, Ishizuka T, Toshida H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7e0b915f27b444c8bf2cfde70601f2c7
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e0b915f27b444c8bf2cfde70601f2c7
record_format	dspace
spelling	oai:doaj.org-article:7e0b915f27b444c8bf2cfde70601f2c72021-12-02T01:22:35ZIris rubeosis and hyphema caused by chemical injury due to household detergent1177-54671177-5483https://doaj.org/article/7e0b915f27b444c8bf2cfde70601f2c72012-11-01T00:00:00Zhttp://www.dovepress.com/iris-rubeosis-and-hyphema-caused-by-chemical-injury-due-to-household-d-a11627https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Chikako Suto,1,2 Tetsuya Ishizuka,1 Hiroshi Toshida31Department of Ophthalmology, Saiseikai Kurihashi Hospital, Kuki, Saitama, 2Department of Ophthalmology, Tokyo Women&#39;s Medical University, Shinjuku, Tokyo, 3Department of Ophthalmology, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, JapanAbstract: We report an unusual case of iris rubeosis and hyphema caused by chemical injury due to household detergent. A 74-year-old man with a 15-year history of diabetes mellitus was refilling a container with household detergent at home. He splashed the detergent in his eyes. Slit-lamp examination revealed extensive epithelial damage to the left eye, leading to a persistent corneal epithelial defect. We used a bandage soft contact lens with levofloxacin eye drops as concomitant therapy in order to promote healing. However, a strain of fluoroquinolone-resistant Corynebacterium colonized the eye, so that the corneal ulcer eventually became severe. Use of the bandage soft contact lens was discontinued. His antimicrobial agent was changed to cefmenoxime, a drug to which fluoroquinolone-resistant Corynebacterium is sensitive, and topical instillation of autologous serum subsequently promoted improvement of the ulcer. On day 38 after injury, iris rubeosis led to hyphema and ghost cell glaucoma. With improvement of his corneal epithelial defect, the iris rubeosis and hyphema regressed and his visual acuity improved to 20/25 on the left eye. To the best of our knowledge, this is the first report of a case resulting in severe complications due to chemical injury by a neutral detergent. Ophthalmologists should be aware that corneal epithelial damage may become prolonged in elderly patients with diabetes, and unexpectedly severe when wearing bandage soft contact lens, with infection of Corynebacterium resistant to fluoroquinolones, even if the chemical agent is a neutral detergent.Keywords: chemical injury, household detergent, persistent corneal epithelial defect, iris rubeosis, fluoroquinolone-resistant Corynebacterium, bandage soft contact lensSuto CIshizuka TToshida HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1977-1980 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Suto C Ishizuka T Toshida H Iris rubeosis and hyphema caused by chemical injury due to household detergent
description	Chikako Suto,1,2 Tetsuya Ishizuka,1 Hiroshi Toshida31Department of Ophthalmology, Saiseikai Kurihashi Hospital, Kuki, Saitama, 2Department of Ophthalmology, Tokyo Women&#39;s Medical University, Shinjuku, Tokyo, 3Department of Ophthalmology, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, JapanAbstract: We report an unusual case of iris rubeosis and hyphema caused by chemical injury due to household detergent. A 74-year-old man with a 15-year history of diabetes mellitus was refilling a container with household detergent at home. He splashed the detergent in his eyes. Slit-lamp examination revealed extensive epithelial damage to the left eye, leading to a persistent corneal epithelial defect. We used a bandage soft contact lens with levofloxacin eye drops as concomitant therapy in order to promote healing. However, a strain of fluoroquinolone-resistant Corynebacterium colonized the eye, so that the corneal ulcer eventually became severe. Use of the bandage soft contact lens was discontinued. His antimicrobial agent was changed to cefmenoxime, a drug to which fluoroquinolone-resistant Corynebacterium is sensitive, and topical instillation of autologous serum subsequently promoted improvement of the ulcer. On day 38 after injury, iris rubeosis led to hyphema and ghost cell glaucoma. With improvement of his corneal epithelial defect, the iris rubeosis and hyphema regressed and his visual acuity improved to 20/25 on the left eye. To the best of our knowledge, this is the first report of a case resulting in severe complications due to chemical injury by a neutral detergent. Ophthalmologists should be aware that corneal epithelial damage may become prolonged in elderly patients with diabetes, and unexpectedly severe when wearing bandage soft contact lens, with infection of Corynebacterium resistant to fluoroquinolones, even if the chemical agent is a neutral detergent.Keywords: chemical injury, household detergent, persistent corneal epithelial defect, iris rubeosis, fluoroquinolone-resistant Corynebacterium, bandage soft contact lens
format	article
author	Suto C Ishizuka T Toshida H
author_facet	Suto C Ishizuka T Toshida H
author_sort	Suto C
title	Iris rubeosis and hyphema caused by chemical injury due to household detergent
title_short	Iris rubeosis and hyphema caused by chemical injury due to household detergent
title_full	Iris rubeosis and hyphema caused by chemical injury due to household detergent
title_fullStr	Iris rubeosis and hyphema caused by chemical injury due to household detergent
title_full_unstemmed	Iris rubeosis and hyphema caused by chemical injury due to household detergent
title_sort	iris rubeosis and hyphema caused by chemical injury due to household detergent
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/7e0b915f27b444c8bf2cfde70601f2c7
work_keys_str_mv	AT sutoc irisrubeosisandhyphemacausedbychemicalinjuryduetohouseholddetergent AT ishizukat irisrubeosisandhyphemacausedbychemicalinjuryduetohouseholddetergent AT toshidah irisrubeosisandhyphemacausedbychemicalinjuryduetohouseholddetergent
_version_	1718403146033659904

Iris rubeosis and hyphema caused by chemical injury due to household detergent

Ejemplares similares