A rare ocular complication of neisseria gonorrhoeae

作者：dos Santos Martins Thiago Goncalves; Fontes de Azevedo Costa Ana Luiza

来源：Irish Journal of Medical Science, 2018, 187(3): 815-816.

DOI：10.1007/s11845-018-1740-2

• Gonococcal conjunctivitis
• Spontaneous filtering bleb

Background Spontaneous formation of subconjunctival filtering blebs is rare and has been observed after penetrating ocular surgery, in association with connective tissue diseases and inflammatory conditions.
Method We describe here a case of a spontaneous formation of subconjunctival filtering bleb as sequelae of gonococcal conjunctivitis in an adult patient.
Results Spontaneous filtering bleb is a rare complication of gonococcal conjunctivitis. In this case, the patient presented with a recent history of gonococcal conjunctivitis treated with moxifloxacin eye drops and intravenous cephalothin for a week. On the first exam, there was superior corneal thinning with surrounding conjunctival hyperemia and edema in the right eye, but after the patient lost the follow-up for 2 weeks, the corneal thinning had become a pseudopterygium. After another week, we observed a focal elevation on the superior conjunctiva that had the appearance of a bleb, although the anterior chamber remained deep. The filtering bleb was confirmed by ultrasound biomicroscopy examination (UBM).
Conclusion This case is relevant to the clinical practice because filtering blebs should be considered as a complication of gonococcal conjunctivitis because they pose a threat to the eye when substantial leakage occurs.

• 出版日期2018-8