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  • Title: Herpetic keratouveitis mixed with bilateral Pseudomonas corneal ulcers in vitamin A deficiency.
    Author: Hsu HY, Tsai IL, Kuo LL, Tsai CY, Liou SW, Woung LC.
    Journal: J Formos Med Assoc; 2015 Feb; 114(2):184-7. PubMed ID: 25678182.
    Abstract:
    A 56-year-old woman complained of blurred vision and pain in her right eye for several days. Slit lamp examination revealed a large epithelial defect and disciform stromal edema with ring infiltration in her right cornea. Unfortunately, hypopyon and purulent discharge subsequently developed in both eyes. Herpetic keratouveitis and a superimposed pseudomonas infection were diagnosed. A systemic review on the patient showed malnutrition due to her dietary preference and vegetarianism. After the infection was controlled, bilateral epithelial defects persisted for a long time. We performed amniotic membrane transplantation on both eyes and the clinical status improved with administration of vitamin and protein supplements. Although rare in Taiwan, vitamin A deficiency should be kept in mind when conjunctival and corneal xerosis occurred. Vitamin A supplements are suggested because of the increased susceptibility to infection in patients with this clinical status.
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