| Radial Keratoneuritis in Aeromonas Keratitis. |
|
Yeseul Kim, Hee Bong Shin, Si Hyung Lee |
1Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. sieh12@schmc.ac.kr
2Department of Laboratory Medicine and Genetics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. |
| 방사상각막신경염의 임상양상을 보인 에로모나스 각막염 |
|
김예슬1 · 신희봉2 · 이시형1 |
|
순천향대학교 의과대학 부천병원 안과학교실1, 순천향대학교 의과대학 부천병원 진단검사유전학교실2 |
Correspondence:
Si Hyung Lee,
Email: sieh12@schmc.ac.kr
|
|
Received: 3 January 2019 • Revised: 15 January 2019 • Accepted: 18 July 2019 |
| Abstract |
PURPOSE
We report a case of Aeromonas keratitis presenting as radial keratoneuritis. CASE SUMMARY: A 33-year-old woman with a history of cleaning her contact lenses with tap water presented with decreased visual acuity for 1 day in the left eye. The patient showed diffuse corneal edema, stromal infiltration, and radial keratoneuritis, which were thought to be pathognomonic for Aeromonas keratitis. Based on the patient's clinical findings and past history, a diagnosis of Aeromonas keratitis was made and she was prescribed topical fortified cefazolin (50 mg/mL, 5%), tobramycin (3 mg/mL), and 0.02% chlorhexidine per hour. Culture results from the contact lens and contact lens solution confirmed infection by Aeromonas hydrophilia. Polymerase chain reaction results for Aeromonas were negative. After 8 days of treatment, the uncorrected visual acuity was 0.7/0.3 with improvement in her corneal findings. CONCLUSIONS: Radial keratoneuritis is not always pathognomic for Aeromonas keratitis and can be present in Aeromonas keratitis. Therefore, ophthalmologists should be cautious when interpreting this clinical sign. |
| Key Words:
Aeromonas;Cornea;Radial keratoneuritis |
|
PDF Links
Full text via DOI
Download Citation
