Toxic Keratouveitis Secondary to Euphorbia lactea Sap: A Case Report

Author: Yihui Goh ¹ ; Pooi Wah Lott ¹ ; Sujaya Singh ¹
Author Information

1. University of Malaya Eye Research Centre, Department of Ophthalmology, University of Malaya Medical Centre, 50603, Kuala Lumpur, Malaysia
Publication Type:Case Reports
Keywords: Toxic keratouveitis, Euphorbia lactea, Plant sap, Spurge
From:Malaysian Journal of Medicine and Health Sciences 2020;16(No.3, September):328-330
CountryMalaysia
Language:English
Abstract: A 42-year-old gentleman presented with left eye pain after accidental contact with Euphorbia lactea sap while gardening. At presentation, left eye best-corrected visual acuity (BCVA) was 20/30. Ocular examination revealed left eye conjunctiva congestion and cornea abrasion. Eye symptoms and BCVA deteriorated over 12 hours. Cornea showed diffuse stromal oedema with presence of anterior uveitis. A diagnosis of toxic keratouveitis was made. He was treated with intensive topical steroids, cycloplegics, lubricants, prophylactic antibiotics and oral non-steroidal anti-inflammatory analgesic. Patient achieved complete resolution two weeks later. We aim to raise awareness among the ophthalmologists to detect and manage these injuries.
Full text:11.2020my0862.pdf