Acute glaucoma and acute corneal oedema in association with tularemia.
Sleutelwoorden
Abstract
OBJECTIVE
To describe the clinical course of oculoglandular tularemia with acute glaucoma and corneal oedema.
METHODS
Clinical course, results of laboratory assays and treatment of oculoglandular tularemia in a 58-year-old woman.
RESULTS
The patient had acute glaucoma and corneal oedema in connection with acute tularemia. At the onset of the disease she had a fever (39 degrees C), pains in her muscles and in her right eye. The intraocular pressure, which was 68 mmHg at the beginning was lowered with intravenous and per oral acetatcolamide together with timolol and pilocarpine eyedrops, and because of a narrow anterior chamber, with subsequent laser iridotomies. The tularemia was treated with ciprofloxacin 500 mg twice daily for ten days. Vision was finger counting at the beginning of the disease. The corneal oedema gradually subsided and vision normalized during the two-month follow-up.
CONCLUSIONS
Oculoglandular tularemia was connected with acute glaucoma and corneal oedema.
