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Related Experiment Videos

Factitious bilateral crystalline keratopathy.

R G Lembach1, D M Ringel

  • 1Department of Ophthalmology, Ohio State University, Columbus 43210.

Cornea
|July 1, 1990
PubMed
Summary

This case study describes an 18-year-old man with bilateral factitious crystalline keratopathy. He self-injected eyeshadow into his corneas, leading to corneal ulcers with blue crystals.

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Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Ocular Trauma

Background:

  • Factitious crystalline keratopathy is a rare condition.
  • It is often associated with self-inflicted ocular trauma.
  • This case highlights a unique method of self-administration.

Observation:

  • An 18-year-old male presented with bilateral corneal ulcers.
  • Slit-lamp examination revealed stromal infiltrates with refractile blue crystals.
  • The patient admitted to injecting eyeshadow into the corneal stroma.

Findings:

  • Bilateral factitious crystalline keratopathy confirmed.
  • Intrastromal blue refractile crystals were a key diagnostic feature.
  • Self-injection of cosmetic material (eyeshadow) into the cornea was the cause.

Implications:

  • A high index of suspicion is crucial for diagnosing atypical corneal ulcers.
  • Consider factitious causes in patients without trauma or contact lens history.
  • Proper diagnosis and management are essential to prevent vision loss.

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