Corneal Infection Associated with Diabetes: A Case Study & Literature Review
S. Miller1, M. Pishgahi2, M. Ghanim3, S. Fongue4, O.H. Alhasana5, S. Najeemuddin6, A.C. Lopez7, L. Gunaseelan8, A. Jamshaid9, P. Charles10 and M. Hamid11
1Graduate of the University of the West Indies; 2Islamic Azad University, Najaf Abad Branch, Esfahan, Iran; 3University of Sharjah, Sharjah-UAE; 4Abia State University, Aba, Nigeria; 5Saratov State Medical University named after V. I. Razymosky; 6International University of the Health Sciences; 7Universidad Catolica de Santiago de Guayaquil; 8Saba University School of Medicine; 9Islamia University of Bahawalpur; 10Windsor University, School of Medicine; 11Assistant Professor, Dept. of Paediatrics, University of Toronto
Abstract: A 54-year-old woman with a history of type 2 diabetes presented with concern for sudden eye pain, photophobia, and redness of the eye. History, physical examination and comprehensive lab tests, yielded a diagnosis of corneal keratopathy. She responded poorly to the initial management of moxifloxacin 5% and homatropine 2%. A multi-faceted approach involving strict glycemic control and antibiotic therapy was then adopted. Through dietary management and pharmacotherapy, the patient’s clinical disposition improved, highlighting the importance of glycemic control when managing diabetic keratopathy.
Keywords: Diabetic keratopathy, Moxifloxacin, Homatropine, Hyperglycemia, Diabetes, Corneal abnormality.