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Infectious Keratitis Manifesting as a White Plaque on the Cornea
Arch Ophthalmol. 2002;120:1091-1093.
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We experienced a cluster of 3 cases of culture-proved infectious keratitis
that, although caused by different organisms, each had a white plaque attached
to the corneal surface without the typical findings associated with an infectious
corneal ulcer.
Report of Case
Case 1
A 68-year-old woman visited our clinic complaining of a foreign body
sensation and epiphora for 3 weeks in her right eye. She had no history of
ocular disease or trauma. On slitlamp examination, a white plaque of gelatinous
texture with sharply demarcated and elevated margins was seen on the nasal
paracentral cornea in conjunction with a pterygium (Figure 1A). There was no epithelial defect, stromal infiltration
around the plaque, or cellular reaction in the anterior chamber. Specimens
were collected from the periphery of the plaque for smear and culture, and
hourly administration of fortified antibiotic eyedrops was initiated. However,
no resolution of the corneal plaque was observed for 1 week. Plaque . . . [Full Text of this Article] Case 2 Case 3
Comment
Corresponding author and reprints: Beom-Jin Cho, MD, Department of
Ophthalmology, College of Medicine, University of Ulsan, Asan Medical Center,
#388-1, Poongnap-dong, Songpa-gu, Seoul 138-040, South Korea.
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