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June 1991

Radial Keratoneuritis in Pseudomonas Keratitis

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1991;109(6):774-775. doi:10.1001/archopht.1991.01080060030012

Radial keratoneuritis, the apparent presence of infiltrate along corneal nerves in suppurative keratitis, has been described1 as an early sign of Acanthamoeba keratitis and is commonly thought to be pathognomonic for this infection. We describe herein a patient with Pseudomonas aeruginosa ulcerative keratitis in which radial keratoneuritis was a presenting sign.

Report of a Case.  —A 22-year-old woman who wore extended-wear soft contact lenses first experienced discomfort in her left eye 5 to 7 days before presentation. At that time, she discontinued contact lens wear. Two days before presentation, she noted increasing redness, pain, and photophobia in the left eye. Her ophthalmologist noted radial keratoneuritis, and she was referred to the University of Illinois at Chicago Eye Center for consideration of propamidine isoethinate (Brolene) therapy. On evaluation, she reported 5 years of extended-wear soft contact lens use and had used the current pair for 1 year. Wearing time was