Delhi Journal of Ophthalmology

Euphorbia Plant Induced Toxic Keratopathy

Atul Kumar Singh, Ashish Pandey, Anjali Maheshwari
Department of Ophthalmology, Command Hospital (Air Force) Bangalore, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Wg Cdr (Dr) Atul Kumar Singh 
Department Of Ophthalmology
Command Hospital, Old Air Port Road, Bangalore-India.
Email: draksingh78@gmail.com


Received: 27-MAR-2020 Accepted: 29-MAY-2020 Published Online: 20-DEC-2020
DOI: https://dx.doi.org/10.7869/djo.602

Abstract
This case report illustrates the severe injury to eye secondary to accidental inoculation of latex content of Euphorbia plant. An 18 years old was given the task of trimming the hedge in the evening. During trimming, he accidentally traumatized his right eye with leaf sap. He reported to the emergency department few hours later with profound loss of vision. On examination, he had a large epithelial defect covering almost three-quarter of the cornea with signs of keratouveitis. After copious irrigation of his right eye, he was managed conservatively with regular follow up. After two weeks, his epithelial defect healed and the anterior chamber became quiet. This case highlights the importance of wearing protective wear during gardening, cutting trees. To the best of our knowledge, this is the youngest patient with such a large corneal defect almost covering the cornea secondary to euphorbia plant induced latex toxicity

Keywords :Corneal Toxicity, Uphorbia, Keratuveitis, Plant Sap