Abstract
Objective: To report a case of anterior uveitis caused by Euphorbia milii sap and review all reported cases of keratouveitis related to this species. Methods: A 64-year-old male patient presented with a 10-day history of reduced visual acuity, pain, and photophobia in the left eye after an accidental contact with Euphorbia milii sap. Best-corrected visual acuity was initially 20/200. Upon examination, ciliary injection, mild corneal edema; fine keratic precipitates, and significant anterior chamber reaction. There was no vitritis, and [...]
Highlights
Euphorbia is a giant genus including approximately 2,000 species, remarkable for its great morphological variability, including a wide range of life forms, from small herbs to trees, as well as succulents
It is known that the sap of many Euphorbia plants may be toxic to both skin and eye on contact.[2]. Guggenheim et al reported the first case of eye injury caused by Euphorbia sap, in 1926.(3) Since several cases have been described and the spectrum of damage ranges from mild conjunctivitis to corneal ulcer, and even uveitis.[4]
The objective was to report a case of anterior uveitis caused by E. milii sap, and review all reported cases of keratouveitis caused by this species
Summary
A 64-year-old male patient presented with a 10-day history of reduced visual acuity, pain, and photophobia in the left eye after an accidental contact with Euphorbia milii sap. Ciliary injection, mild corneal edema; fine keratic precipitates, and significant anterior chamber reaction. There was no vitritis, and fundoscopy was unremarkable. The patient initiated on topical steroid and tropicamide
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