Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication

CASE PRESENTATION: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. DISCUSSION: Keratolysis is dis...

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Detalles Bibliográficos
Autores principales: Heer, Jagdipak S., Heavey, Sean, Quesada, Daniel, Aguìñiga-Navarrete, Phillip, Garrett, Madison B., Barkataki, Kieron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434255/
https://www.ncbi.nlm.nih.gov/pubmed/32926718
http://dx.doi.org/10.5811/cpcem.2020.3.43981
Descripción
Sumario:CASE PRESENTATION: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. DISCUSSION: Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.

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