Ocular Toxicity Caused by Euphorbia Sap: A Case Report

This is the first clinical case report of patient with ocular inflammation caused by plant sap from Euphorbia species in Iran. We examined a patient with history of recent ocular exposure to the sap of Euphorbia species. Initial symptoms were generally burning or stinging pain, blurred vision, ocular itching, agitation, and lacrimation. All symptoms were stable during course of disease except lacrimation that not continued following first day of exposure. Clinical findings confirmed mild keratoconjunctivitis. All signs and symptoms had resolved by 8 days. The patient was treated with antibiotic drop (chloramphenicol). Cycloplegic drop, steroid injection and potato poultice were also used. In conclusion, people who work with Euphorbia plant species must wear goggle and glove. Clinicians managing ocular problems caused by Euphorbia should be aware of sight-threatening infection. Our suggestion for managing of Euphorbia sap keratoconjunctivitis is applying freeze potato poultice as supportive therapy.