@article{ref1,
title="Corneal toxicity after self-application of <i>Calotropis procera</i> (Ushaar) latex: case report and analysis of the active components",
journal="Middle East African journal of ophthalmology",
year="2019",
author="Al Ghadeer, Huda and Al Gethami, Ahmad and Al Sulaiman, Hamad and Bukhari, Thamer",
volume="26",
number="1",
pages="40-42",
abstract="<i>Calotropis procera</i> (ushaar) produces a copious amount of latex, which has both inflammatory and anti-inflammatory pharmacological properties. Local application produces an intense inflammatory response and causes significant ocular morbidity. We report corneal toxicity following self-application of latex from <i>C. procera</i> in a 74-year-old man. He reported painless decreased vision in the affected eye with diffuse corneal edema, and specular microscopy revealed a reduced endothelial cell count. After he was treated with topical corticosteroids, his visual acuity improved from hand motion to 20/80. The composition of the active compounds in the latex was analyzed. When topically administered, the latex may cause severe ocular injuries and a loss of endothelial cells over a period of time. Public education, early recognition of such injuries, and timely intervention may prevent permanent ocular damage.<p /> <p>Language: en</p>",
language="en",
issn="0974-9233",
doi="10.4103/meajo.MEAJO_180_18",
url="http://dx.doi.org/10.4103/meajo.MEAJO_180_18"
}