Ali Hassan, Abdullah Alashw Al
(2008)
Journal publication and case report book
2005-2009.
Masters thesis, Universiti Sains Malaysia.
Abstract
A 34-year-old Malay man presented with mild reduced vision RE associated with foreign
body sensation, redness and tearing. The problem was started one week back with RE
redness, irritation and tearing. Two days later he experienced mild reduced of vision and he
noted white opacity over right cornea. He was using eye drops given by a pharmacist
however the condition getting worse. The patient did not report any known ocular traumatic
injury and there was no history of wearing contact lens. There was no history of previous
similar attack and no medical illness had been known. Social history revealed that he is
working as lorry driver for about 10 years.
Ocular examination revealed best corrected visual acuity of 6/18 OD and 6/6 OS. Right eye
showed marked conjunctival injection, presence of para-central corneal ulcer measuring
3x2.8 mm. The margin was slightly elevated and ill defined. There was also deep stromal
inflammatory infiltration (figure 1 ). Staining the lesion with fluorescein stain revealed
epithelial defect (figure}). Occasional cells were noted in the anterior chamber. There was
no hypopyon. The intraocular pressure was 15 mm Hg. The lens was clear and fundus
examination was uneventful. General physical examination and systemic work-up were
normal.
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