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Superficial punctate keratitis: A diagnostic dilemma

Publication Type : Journal Article

Publisher : Oman J Ophthalmol

Source : Oman J Ophthalmol. 2021 Feb 27;14(1):62-63

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Campus : Faridabad

Year : 2021

Abstract : A30-year-old immunocompetent male presented to our outpatient department with complaints of pain, redness, and watering and hazy vision in the left eye for the past 1 week. He had a history of swimming in a pond 10 days back. Visual acuity was 6/6 in the right eye and 6/9 in the left eye. Slit-lamp biomicroscopic examination revealed diffuse, multifocal, coarse, raised, punctate epithelial lesions on the cornea that stained negatively with fluorescein [Figure 1]. The underlying stroma was normal. The conjunctiva showed a papillary response. The raised corneal lesions were scraped using number 15 blade, smeared on a glass slide, and stained with Gram stain. Microbiology examination of the slide revealed numerous Gram-positive, oval, nonbudding bodies under ×100 oil immersion field [Figure 2]. The oval bodies were 1% acid fast. He was treated with topical gatifloxacin 0.5% eye drops six times a day for 10 days. The lesions healed completely, and vision returned to 6/6 after 10 days.

Cite this Research Publication : Mittal R. Superficial punctate keratitis: A diagnostic dilemma. Oman J Ophthalmol. 2021 Feb 27;14(1):62-63

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