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Corneal laceration caused by river crab

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 reveale...

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Autores principales: Vinuthinee, Naidu, Azreen-Redzal, Anuar, Juanarita, Jaafar, Zunaina, Embong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322881/
https://www.ncbi.nlm.nih.gov/pubmed/25678769
http://dx.doi.org/10.2147/OPTH.S74548
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author Vinuthinee, Naidu
Azreen-Redzal, Anuar
Juanarita, Jaafar
Zunaina, Embong
author_facet Vinuthinee, Naidu
Azreen-Redzal, Anuar
Juanarita, Jaafar
Zunaina, Embong
author_sort Vinuthinee, Naidu
collection PubMed
description 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.
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spelling pubmed-43228812015-02-12 Corneal laceration caused by river crab Vinuthinee, Naidu Azreen-Redzal, Anuar Juanarita, Jaafar Zunaina, Embong Clin Ophthalmol Case Report 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. Dove Medical Press 2015-01-29 /pmc/articles/PMC4322881/ /pubmed/25678769 http://dx.doi.org/10.2147/OPTH.S74548 Text en © 2015 Vinuthinee et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Vinuthinee, Naidu
Azreen-Redzal, Anuar
Juanarita, Jaafar
Zunaina, Embong
Corneal laceration caused by river crab
title 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_short Corneal laceration caused by river crab
title_sort corneal laceration caused by river crab
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322881/
https://www.ncbi.nlm.nih.gov/pubmed/25678769
http://dx.doi.org/10.2147/OPTH.S74548
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