Corneal laceration caused by river crab
A 5-year-old boy presented with right eye pain associated with tearing and photophobia of 1-day duration. He gave a history of playing with a river crab when suddenly the crab clamped his fingers. He attempted to fling the crab off, but the crab flew and hit his right eye. Ocular examination reveale...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015
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| Online Access: | http://eprints.usm.my/38532/ http://eprints.usm.my/38532/1/Corneal_laceration_caused_by_river_crab.pdf |
| _version_ | 1848878496014663680 |
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| author | Naidu, Vinuthinee Anuar, Azreen Redzal Jaafar, Juanarita Embong, Zunaina |
| author_facet | Naidu, Vinuthinee Anuar, Azreen Redzal Jaafar, Juanarita Embong, Zunaina |
| author_sort | Naidu, Vinuthinee |
| building | USM Institutional Repository |
| collection | Online Access |
| description | A 5-year-old boy presented with right eye pain associated with tearing and photophobia of 1-day duration. He gave a history of playing with a river crab when suddenly the crab clamped his fingers. He attempted to fling the crab off, but the crab flew and hit his right eye. Ocular examination revealed a right eye corneal ulcer with clumps of fibrin located beneath the corneal ulcer and 1.6 mm level of hypopyon. At presentation, the Seidel test was negative, with a deep anterior chamber. Culture from the corneal scrapping specimen grew Citrobacter diversus and Proteus vulgaris, and the boy was treated with topical gentamicin and ceftazidime eyedrops. Fibrin clumps beneath the corneal ulcer subsequently dislodged, and revealed a full-thickness corneal laceration wound with a positive Seidel test and shallow anterior chamber. The patient underwent emergency corneal toileting and suturing. Postoperatively, he was treated with oral ciprofloxacin 250 mg 12-hourly for 1 week, topical gentamicin, ceftazidime, and dexamethasone eyedrops for 4 weeks. Right eye vision improved to 6/9 and 6/6 with pinhole at the 2-week follow-up following corneal suture removal. |
| first_indexed | 2025-11-15T17:32:15Z |
| format | Article |
| id | usm-38532 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T17:32:15Z |
| publishDate | 2015 |
| publisher | Dove Medical Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-385322018-01-24T07:40:58Z http://eprints.usm.my/38532/ Corneal laceration caused by river crab Naidu, Vinuthinee Anuar, Azreen Redzal Jaafar, Juanarita Embong, Zunaina RE Ophthalmology A 5-year-old boy presented with right eye pain associated with tearing and photophobia of 1-day duration. He gave a history of playing with a river crab when suddenly the crab clamped his fingers. He attempted to fling the crab off, but the crab flew and hit his right eye. Ocular examination revealed a right eye corneal ulcer with clumps of fibrin located beneath the corneal ulcer and 1.6 mm level of hypopyon. At presentation, the Seidel test was negative, with a deep anterior chamber. Culture from the corneal scrapping specimen grew Citrobacter diversus and Proteus vulgaris, and the boy was treated with topical gentamicin and ceftazidime eyedrops. Fibrin clumps beneath the corneal ulcer subsequently dislodged, and revealed a full-thickness corneal laceration wound with a positive Seidel test and shallow anterior chamber. The patient underwent emergency corneal toileting and suturing. Postoperatively, he was treated with oral ciprofloxacin 250 mg 12-hourly for 1 week, topical gentamicin, ceftazidime, and dexamethasone eyedrops for 4 weeks. Right eye vision improved to 6/9 and 6/6 with pinhole at the 2-week follow-up following corneal suture removal. Dove Medical Press 2015-01 Article PeerReviewed application/pdf en http://eprints.usm.my/38532/1/Corneal_laceration_caused_by_river_crab.pdf Naidu, Vinuthinee and Anuar, Azreen Redzal and Jaafar, Juanarita and Embong, Zunaina (2015) Corneal laceration caused by river crab. Clinical Ophthalmology, 9. pp. 203-206. ISSN 1177-5467 https://www.ncbi.nlm.nih.gov/pubmed/25678769 |
| spellingShingle | RE Ophthalmology Naidu, Vinuthinee Anuar, Azreen Redzal Jaafar, Juanarita Embong, Zunaina Corneal laceration caused by river crab |
| title | Corneal laceration caused by river crab |
| title_full | Corneal laceration caused by river crab |
| title_fullStr | Corneal laceration caused by river crab |
| title_full_unstemmed | Corneal laceration caused by river crab |
| title_short | Corneal laceration caused by river crab |
| title_sort | corneal laceration caused by river crab |
| topic | RE Ophthalmology |
| url | http://eprints.usm.my/38532/ http://eprints.usm.my/38532/ http://eprints.usm.my/38532/1/Corneal_laceration_caused_by_river_crab.pdf |