EyeRounds Online Atlas of Ophthalmology
Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry
Category: Cornea
Diagnosis: examinig a 5mos-old child with a perforated cornea due to keratomalacia caused by vitamin A deficiency

Image Comments:
In the evaluation of this child the thumb exerted pressure only on the bony orbital rim. Keratomalacia with an incipent melting away of the cornea was evident. The child was admitted to the Kurji Holy Family Hospital for emergency treatment which included intensive vitamin therapy, general nutritional therapy, prophylactic antibiotic therapy, and local eye medicaments. Keratomalacia can cause a melting-away of the cornea/ corneas within a few hours of onset.



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