The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
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Stitch corneal ulcer
Photo by Professor Chua
Chung Nen
A 68 year-old man
presented with a left painful red eye. He underwent an uncomplicated left
extracapsular cataract operation and implant two years ago. The left vision
was reduced to 6/60. Slit-lamp examination showed two broken stitches with
surrounding corneal ulcers superiorly and a hypopyon. The stitches were
removed and he was started on intensive topical gentamicin and ceftazidine.
Corneal scrapping grew Streptococcus pnumoniae sensitive to
ceftazidine.
Superior corneal ulcer with hypopyon.
Close-up view shows two broken
stitches within the corneal abscess.