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Cornea 2008-May

Corneal endothelial cytotoxicity of the Calotropis procera (ushaar) plant.

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Hani S Al-Mezaine
Mohammed A Al-Amry
Abdullah Al-Assiri
Talal S Fadel
Khalid F Tabbara
Ali A Al-Rajhi

Keywords

Abstract

OBJECTIVE

To report 6 eyes of 5 patients with transient corneal edema after exposure to the milky latex of Calotropis procera (ushaar).

METHODS

Interventional case series.

RESULTS

Intracorneal penetration of ushaar latex can lead to permanent endothelial cell loss with morphologic alteration. Corneal edema resolved completely in approximately 2 weeks in all cases, despite reduced endothelial cell count and abnormal morphology.

CONCLUSIONS

Corneal endothelial toxicity of ushaar latex is caused by its ability to penetrate the corneal stroma and induce permanent loss of endothelial cells. Corneal edema resolves if sufficient endothelial cell viability is still present after resolution of ushaar keratitis.

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