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From Temple to Emergency Room: A Chemical Injury Case Report
Apurva Prabhudesai1, Abhay Lune1
1Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Accidental eye exposure to Calotropis plant sap can cause significant vision loss. Prompt medical treatment, including antibiotics and steroids, is crucial for restoring sight and preventing permanent vision impairment.
Area of Science:
- Ophthalmology
- Toxicology
Background:
- Calotropis, a tropical plant, has sap (latex) known to cause eye injuries.
- Traditional uses of Calotropis leaves are documented, but sap toxicity is a significant concern.
Observation:
- A 30-year-old male presented with acute eye injury after Calotropis sap contact.
- Symptoms included blurred vision, foreign body sensation, and photophobia.
- Ocular examination revealed conjunctival congestion, corneal edema, and Descemet's folds.
Findings:
- Best-corrected visual acuity (BCVA) in the affected eye was initially 6/18.
- Immediate treatment with systemic/topical antibiotics, topical steroids, and lubricants was initiated.
- After two months, BCVA improved to 6/6, with complete symptom resolution.
Implications:
- Calotropis sap exposure can lead to severe, yet treatable, ocular injury.
- Early and appropriate medical intervention is essential for vision recovery.
- This case highlights the importance of recognizing and managing uncommon plant-induced eye injuries.
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