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Turk J Ophthalmol. 2015 Oct;45(5):226-228. doi: 10.4274/tjo.67625. Epub 2015 Oct 05.

Four Cases of Pediatric Photokeratitis Present to the Emergency Department After Watching the Same Theater Show.

Turkish journal of ophthalmology

Mehmet Serhat Mangan, Ceyhun Arıcı, Eray Atalay, Burak Tanyıldız, Faik Oruçoğlu

Affiliations

  1. Okmeydan? Education and Research Hospital, Clinic of Ophthalmology, ?stanbul, Turkey.
  2. ?stanbul University Cerrahpa?a Faculty of Medicine, Department of Ophthalmology, ?stanbul, Turkey.
  3. Kars State Hospital, Clinic of Ophthalmology, Kars, Turkey.
  4. ?stanbul University ?stanbul Faculty of Medicine, Department of Ophthalmology, ?stanbul, Turkey.
  5. Birinci Eye Hospital, ?stanbul, Turkey.

PMID: 27800238 PMCID: PMC5082247 DOI: 10.4274/tjo.67625

Abstract

We report four consecutive cases of photokeratitis that presented to the emergency department, interestingly after having watched the same theatre performance in the same school. The patients' ages (3 male, 1 female) ranged from 9 to 13 years. All patients presented with similar complaints consisting of pain, tearing, foreign body sensation, photophobia and blurred vision in both eyes. Patients reported watching a theatre performance in the same school approximately 4 hours before symptom onset. On slit-lamp examination, conjunctival injection and corneal punctate epithelial erosions were observed in the interpalpebral zone in both eyes. On fundus examination, no pathology was observed in the vitreous, posterior pole or peripheral retina. All cases were treated with topical antibiotics and lubricant eye drops. Corneas were clear two days later in the control visit. In this case report, exposure to ultraviolet light from high-power lamps used in the theatre was proposed as a possible cause of corneal epithelial cell damage and subsequent photokeratitis.

Keywords: Cornea; Photokeratitis; ultraviolet

Conflict of interest statement

No conflict of interest was declared by the authors. Financial Disclosure: The authors declared that this study received no financial support.

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