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March 1989

Vibrio vulnificus Corneal Ulcer

Author Affiliations

New Orleans

Arch Ophthalmol. 1989;107(3):323-324. doi:10.1001/archopht.1989.01070010333012

To the Editor.  Vibrio vulnificus is a halophilic, pleomorphic, gram-negative rod that is ubiquitous in marine waters. Most V vulnificus infections occur in coastal states during the warm months in association with the ingestion or handling of shellfish.1 Although reported cases of serious wound infection and potentially fatal septicemia caused by V vulnificus are abundant,2 to our knowledge, this organism has been unreported in the ophthalmic literature and only a single corneal isolate has been identified previously by the Centers for Disease Control, Atlanta.3

Report of Cases. 

—Case 1.  —A 21-year-old man with an irritated right eye was seen one day after he was employed shucking oysters. The uncorrected visual acuity was 20/40 OD and 20/20 OS. The right eye showed a 3-mm corneal ulcer and a 5% to 10% hypopyon. Every 30 minutes, the eye was treated topically with gentamicin sulfate (9.1 mg/mL), cefazolin

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