Recurrent corneal erosion | Figure 1

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Recurrent corneal erosion

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Gram + ulcer (2/3 corneal thickness) with hypopyon (image 1). Treated with round the clock fortified topical vancomycin/tobramycin qh for 2.5 weeks. Pt contracted infection s/p vitrectomy for vit heme related to DM. Image 2-3 taken 4 weeks after initial presentation. No epithelial defect, diffuse corneal epithelial and endothelial neovascularization. PKP planned after inflammation resolves with topical steroid.](https://app.figure1.com/case-detail/0481d518-9758-45ae-8200-5e0174a5aa5a)



Photo 1 of 2: Corneal abrasion](https://app.figure1.com/case-detail/45829b6a-b519-4449-8e48-c51bf773747e)



Terrien's marginal degeneration OU.](https://app.figure1.com/case-detail/6a3ba3d1-cd49-4a94-a80a-1d6a69f5dda8)



Acute inflammation.
A. Corneal ulcer with hypopyon (purulent exudate). Conjunctiva hyperemic.
B. Polymorphonuclear leukocytes (PMNs) adhere to corneal endothelium and are present in the anterior chamber as a hypopyon (purulent exudate).
C. Leukocytes adhere to limbal, dilated, blood-vessel wall (margination) and have emigrated through endothelial cell junctions into edematous surrounding tissue.
D. PMNs in corneal stroma do not show characteristic morphology but are recognized by “bits and pieces” of nuclei lining up in a row.
(C and D are thin sections from rabbit corneas six hours post-corneal abrasion.)
Source: Ocular Pathology, 8th edition, by Myron Yanoff and Joseph W. Sassani. ISBN: 9780323547550. Copyright ©2020 Elsevier, Inc.](https://app.figure1.com/case-detail/72dc4b4a-fd65-4094-be56-8a126d79d547)