Haemophilus Influenzae-Induced Corneal Ulcer and Endophthalmitis Triggered by Hair Dye

The present report describes a 79-year-old woman developed eye pain in her right eye after accidental exposure to the hair dye when she dyed her hair. Her visual acuity was no light perception and intraocular ocular pressure was 10 mmHg in her right eye. Slit-lamp biomicroscopy revealed a huge corneal ulcer with the central cornea almost perforated and severe hypopyon in anterior chamber and moderate opacity in vitreous. Time-of-flight mass-spectrum of cornea scraping confirmed that the pathogen was haemophilus influenzae. Right-eye enucleation was performed. Topical chloramphenicol eye drops (0.25%) and ciprofloxacin (0.3%) and the ceftezole intravenous infusion were applied. The infection was controlled and the patient recovered well on 1 month follow-up. Doctors should be aware of the diagnosis and treatment of this complication associated with the application of hair dye as the popularity of this procedure increases.