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Keratouveitis from Euphorbia cyparissias exposure is a temporal phenomenon

Authors Fleischman D, Meyer JJ, Fowler WC

Received 25 March 2012

Accepted for publication 5 April 2012

Published 1 June 2012 Volume 2012:6 Pages 851—853

DOI https://doi.org/10.2147/OPTH.S32209

Review by Single-blind

Peer reviewer comments 2


David Fleischman, Jay J Meyer, W Craig Fowler
Department of Ophthalmology, University of North Carolina Hospitals, Chapel Hill, NC, USA

Abstract: We present the case of an 82-year-old woman with severe keratouveitis secondary to exposure to the plant Euphorbia cyparissias during the month of August. Despite copious irrigation of both eyes, she developed a case of Euphorbia keratouveitis that was typical in its course. Exposure to plant sap from this species should be treated much like an alkaline chemical injury as the pH of the ocular surface may be elevated. E. cyparissias should be carefully handled as it may result in keratouveitis, especially in early autumn.

Keywords: Euphorbia cyparissias, sap, keratitis, uveitis

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