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Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series
PURPOSE: To investigate the clinical courses of patients with corneal endothelial dysfunction due to Gomphocarpus physocarpus milky latex-induced injury. PATIENTS AND METHODS: In this retrospective case series, we included consecutive patients who visited Miyata Eye Hospital or Kagoshima Miyata Eye...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6878928/ https://www.ncbi.nlm.nih.gov/pubmed/31819354 http://dx.doi.org/10.2147/OPTH.S230009 |
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author | Ono, Takashi Kinoshita, Katsuhito Iwasaki, Takuya Mori, Yosai Nejima, Ryohei Nakamura, Yasuko Amano, Shiro Aihara, Makoto Miyata, Kazunori |
author_facet | Ono, Takashi Kinoshita, Katsuhito Iwasaki, Takuya Mori, Yosai Nejima, Ryohei Nakamura, Yasuko Amano, Shiro Aihara, Makoto Miyata, Kazunori |
author_sort | Ono, Takashi |
collection | PubMed |
description | PURPOSE: To investigate the clinical courses of patients with corneal endothelial dysfunction due to Gomphocarpus physocarpus milky latex-induced injury. PATIENTS AND METHODS: In this retrospective case series, we included consecutive patients who visited Miyata Eye Hospital or Kagoshima Miyata Eye Clinic between October 2010 and August 2017 and had corneal edema caused by G. physocarpus milky latex-induced injury. Patient information and data on central corneal thickness (CCT), corneal endothelial cell density (ECD), best-corrected visual acuity (BCVA), and treatment were retrospectively reviewed. RESULTS: Five eyes of four patients were included. The mean age was 79.0 ± 7.1 years. All patients complaining of symptoms visited the hospital 1 or 2 days after the injury. All patients had corneal edema; two of the five eyes showed hyperemia, whereas none showed corneal epithelial defect or blepharitis. The mean CCT was 699.8 ± 95.9 μm at the first visit and decreased to 563.2 ± 74.0 μm 1 week after the injury with treatment with topical steroids and antibiotics. The mean ECD and BCVA were 2695.8 ± 191.3 cells/mm(2) and 0.22 ± 0.19 at the first visit and 2826.0 ± 132.9 cells/mm(2) and 0.10 ± 0.09 one week after the injury, respectively. CONCLUSION: G. physocarpus caused transient dysfunction of the corneal endothelium and thereby, corneal edema. Accurate diagnosis with history taking is important to ascertain the types of plants the patient has touched and to exclude other possible diagnoses. |
format | Online Article Text |
id | pubmed-6878928 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-68789282019-12-09 Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series Ono, Takashi Kinoshita, Katsuhito Iwasaki, Takuya Mori, Yosai Nejima, Ryohei Nakamura, Yasuko Amano, Shiro Aihara, Makoto Miyata, Kazunori Clin Ophthalmol Case Series PURPOSE: To investigate the clinical courses of patients with corneal endothelial dysfunction due to Gomphocarpus physocarpus milky latex-induced injury. PATIENTS AND METHODS: In this retrospective case series, we included consecutive patients who visited Miyata Eye Hospital or Kagoshima Miyata Eye Clinic between October 2010 and August 2017 and had corneal edema caused by G. physocarpus milky latex-induced injury. Patient information and data on central corneal thickness (CCT), corneal endothelial cell density (ECD), best-corrected visual acuity (BCVA), and treatment were retrospectively reviewed. RESULTS: Five eyes of four patients were included. The mean age was 79.0 ± 7.1 years. All patients complaining of symptoms visited the hospital 1 or 2 days after the injury. All patients had corneal edema; two of the five eyes showed hyperemia, whereas none showed corneal epithelial defect or blepharitis. The mean CCT was 699.8 ± 95.9 μm at the first visit and decreased to 563.2 ± 74.0 μm 1 week after the injury with treatment with topical steroids and antibiotics. The mean ECD and BCVA were 2695.8 ± 191.3 cells/mm(2) and 0.22 ± 0.19 at the first visit and 2826.0 ± 132.9 cells/mm(2) and 0.10 ± 0.09 one week after the injury, respectively. CONCLUSION: G. physocarpus caused transient dysfunction of the corneal endothelium and thereby, corneal edema. Accurate diagnosis with history taking is important to ascertain the types of plants the patient has touched and to exclude other possible diagnoses. Dove 2019-11-22 /pmc/articles/PMC6878928/ /pubmed/31819354 http://dx.doi.org/10.2147/OPTH.S230009 Text en © 2019 Ono et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Series Ono, Takashi Kinoshita, Katsuhito Iwasaki, Takuya Mori, Yosai Nejima, Ryohei Nakamura, Yasuko Amano, Shiro Aihara, Makoto Miyata, Kazunori Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title | Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title_full | Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title_fullStr | Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title_full_unstemmed | Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title_short | Clinical Courses Of Corneal Endothelial Dysfunction Due To Gomphocarpus physocarpus Milky Latex-Induced Injury: A Case Series |
title_sort | clinical courses of corneal endothelial dysfunction due to gomphocarpus physocarpus milky latex-induced injury: a case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6878928/ https://www.ncbi.nlm.nih.gov/pubmed/31819354 http://dx.doi.org/10.2147/OPTH.S230009 |
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