Corneal Toxicity after Self-Application of Calotropis procera (Ushaar) Latex: Case Report and Analysis of the Active ComponentsHuda Al Ghadeer*, Ahmad Al Gethami and Hamad Al Sulaiman
Department of Emergency Medicine, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
- *Corresponding Author:
- Huda Al-Ghadeer
Department of Emergency Medicine, King Khaled Eye Specialist Hospital
PO Box 7191, Riyadh 11462, Kingdom of Saudi Arabia
Tel: +966 1 4821234 ext 3777
Fax: +966 1 4821234 ext 3727
E-mail: [email protected]
Received date: February 01, 2017; Accepted date: March 30, 2017; Published date: April 03, 2017
Citation: Ghadeer HA, Gethami AA, Sulaiman HA (2017) Corneal Toxicity after Self-Application of Calotropis procera (Ushaar) Latex: Case Report and Analysis of the Active Components. J Clin Exp Ophthalmol 8:642. doi: 10.4172/2155-9570.1000642
Copyright: © 2017 Ghadeer HA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Calotropis procera (ushaar) produces a copious amount of latex, which has both inflammatory and anti-inflammatory pharmacological properties. Local application produces an intense inflammatory response and causes significant ocular morbidity. We report corneal toxicity following self-application of latex from C. procera in a 74-year-old man. He reported painless decreased vision in the affected eye with diffuse corneal edema, and specular microscopy revealed a reduced endothelial cell count. After he was treated with topical corticosteroids, his visual acuity improved from HM to 20/80. The composition of the active compounds in the latex was analyzed. When topically administered, the latex may cause severe ocular injuries and a loss of endothelial cells over a period of time. Public education, early recognition of such injuries, and timely intervention may prevent permanent ocular damage.