The patient was in obvious discomfort. Visual acuity was hand motions in both eyes. External examination showed bilaterally edematous eyelids and copious ocular discharge. Anterior segment examination revealed bilaterally eroded conjunctivae, melted corneas, descemetoceles and collapsed anterior chambers (Figure 2). The eyes were extremely tender and highly sensitive to light. There were blepharospasms on attempted opening of the lids.
Figure 2
Photograph of the patient's eyes following the application of cassava extract. Note the lid edema, copious eye discharge, conjunctival erosions, corneas melting, and descemetoceles.