PMC3033006_01
A) and B) Conjunctival keratinization and moderate superficial keratitis punctata. C) Infectious ulcers with total hipopion. D) Infectious ulcers with 2 mm hypopion. E) Perforation with drainage of purulent content. F) Improvement of infectious keratitis. G) Residual leukoma and disappearance of ocular xerophthalmia. H) Coating with amniotic membrane.
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His corrected visual acuity was 20/20 and he exhibited conjunctival keratinization, reduced tear break-up time, moderate superficial keratitis punctata, and Schirmer below 5 mm (Figure 1). Bilateral infectious ulcers with total hypopion were seen in the oculus dexter (right eye [OD]) and infectious ulcers with 2 mm hypopyon in the oculus sinister (left eye [OS]) (Figure 1). Forty-eight hours later, the patient had right perforation with drainage of purulent content and improvement in his OS (Figure 1).