Orange -Rind juice induced endothelialitis

Case Report

Author Details : Pankhuri Agrawal, Thanuja G Pradeep*

Volume : 6, Issue : 4, Year : 2020

Article Page : 260-262

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Aim: We report an unusual case of accidental splash of orange - rind juice in a 21 year old patient’s right eye leading to his complaints of redness, watering, photophobia and haze in the same eye within 24 hours.
Materials and Methods: On examination patient had an uncorrected visual acuity of 6/60 with slit lamp evaluation showing right eye mild conjunctival congestion and central corneal oedema with a normal overlying epithelium. Anterior segment OCT revealed central stromal oedema with a central corneal thickness of 660mm. pH of the right eye was 6 which returned to 7 on thorough eye wash with normal saline.
Result: Patient was diagnosed with endothelial injury and started on topical steroid-prednisolone acetate 1% along with lubricating eye drops to which patient responded well. After 48 hours, slit lamp examination showed resolving stromal oedema with an improved uncorrected visual acuity of 6/18 in right eye.
Conclusion: Ophthalmologists need to evaluate the plant juice induced keratitis and identify the corneal layer primarily affected. Treatment varies depending on the layer affected. Endothelial dysfunction responds to topical steroids and early recognition helps in prompt institution of treatment and thus restoring the endothelial function.

Keywords: Orange rind juice induced keratitis, Endothelialitis, Corneal stromal oedema.

How to cite : Agrawal P , Pradeep T G, Orange -Rind juice induced endothelialitis. IP Int J Ocul Oncol Oculoplasty 2020;6(4):260-262

Copyright © 2020 by author(s) and IP Int J Ocul Oncol Oculoplasty. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (

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