Annals of Optometry and Contact Lens 2015;14(4):209-212.
Published online December 25, 2015.
A Chemical Burn of Cornea by an Insect Repellent
Seondo Kim, Youngkook Kim, Sunho Lee, Hyejin Lee, Dongmin Cha, Jinho Jeong
Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
Received: 31 August 2015   • Revised: 5 October 2015   • Accepted: 5 October 2015
Abstract
Purpose: We report a case of chemical burn of cornea by a mosquito repellent that looks similar with commonly available eyedrop.
Case summary: A 75-year-old female presented to the ophthalmology clinic with complaint of ocular pain in the right eye. She mistakenly applied a mosquito repellent, which consisted of citronella oil looking like an eyedrop. The acidity of mosquito repellent was measured as pH 3.9. Her visual acuity of the right eye was 0.02. 8 mm sized corneal epithelial defect and gelatinous opaque lesion over central cornea was observed. Therapeutic contact lens was applied for 1 week, and she was treated with 0.5% levofloxacine, 1 prednisolone, autologous serum, and artificial tears. After 1 month, we confirmed that corneal recovery was accomplished from the chemical burn.
Conclusions: Mosquito repellent using container, which is similar with commonly available eyedrop, may cause chemical burn of cornea by mistake. Proper safety education and better modification of container would be necessary.
Key Words: Citronella, Chemical burns, Insect repellents
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