A Rare Case of Corneal Perforation Secondary to Gonococcal Keratoconjunctivitis

Gonococcal keratoconjunctivitis (GKC) is an aggressive infection caused by Neisseria gonorrhoeae, which can cause an acute, dreadful, ulcerative keratitis resulting in blindness if left untreated. We report a rare case of bilateral GKC complicated with left eye corneal perforation. A 20-year-old male presented with bilateral eye purulent discharge associated with vision loss over the left eye for two weeks prior to presentation. Gram stain from purulent discharge showed gram-negative diplococci and cultured positive for N. gonorrhoeae. Left eye corneal perforation was managed with cyanoacrylate glue and a bandage contact lens. Systemic and topical antibiotic treatments were administered. Resolution was achieved with the administration of one gram of intramuscular ceftriaxone in a single dose, and the patient had no recurrences. Prompt and effective antibiotic administration in the early stage of disease contributed to an adequate recovery in this case.