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Corneal laceration caused by river crab
Naidu Vinuthinee1, Anuar Azreen-Redzal2, Jaafar Juanarita2
1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia ; Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Clinical Ophthalmology (Auckland, N.Z.)
|February 14, 2015
Summary
A child sustained a corneal ulcer and laceration from a river crab injury. Prompt surgical repair and antibiotic treatment led to significant vision recovery.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Corneal trauma can lead to microbial keratitis.
- Ocular injuries from aquatic animals pose diagnostic and therapeutic challenges.
Observation:
- A 5-year-old boy presented with acute eye pain, tearing, and photophobia after a river crab injury.
- Initial examination revealed a corneal ulcer with hypopyon; later, a full-thickness corneal laceration was discovered.
- Cultures identified Citrobacter diversus and Proteus vulgaris.
Findings:
- The patient received topical antibiotics (gentamicin, ceftazidime) and underwent emergency corneal repair (toileting and suturing).
- Postoperative treatment included oral ciprofloxacin, topical antibiotics, and corticosteroids.
- Vision improved to 6/6 with pinhole correction by the 2-week follow-up.
Implications:
- This case highlights the importance of thorough examination in diagnosing traumatic corneal injuries, even when initial tests are negative.
- Early surgical intervention and appropriate antimicrobial therapy are crucial for managing complex microbial keratitis secondary to ocular trauma.
- River crab-related eye injuries require prompt management to prevent vision loss.
