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Corneal perforation requiring corneal grafting: a rare complication of gonococcal eye infection
  1. Craig Tipple1,
  2. Alan Smith1,
  3. Elzbieta Bakowska2,
  4. Melanie C Corbett3
  1. 1Imperial College Healthcare NHS Trust, London, UK
  2. 2Hospital for Infectious Diseases, Warsaw, Poland
  3. 3Western Eye Hospital, London, UK
  1. Correspondence to Dr Craig Tipple, Imperial College Healthcare NHS Trust Jefferiss Trust Laboratories, Wright-Fleming Building, Imperial College London, Norfolk Place, London W2 1PG, UK; c.tipple{at}


The authors present a case of severe gonococcal conjunctivitis associated with corneal perforation of the right eye in a 25-year-old homosexual man. Inpatient management and corneal grafting were required. The authors demonstrate that Neisseria gonorrhoea should be considered in the presence of purulent conjunctival discharge with a white patch on the cornea or reduced vision. Regardless of whether a patient has genital symptoms, they should be referred urgently to an ophthalmologist to ensure adequate treatment of this rare but sight-threatening complication.

  • Neisseria gonorrhoeae
  • corneal perforation
  • HIV
  • grafting
  • corneal
  • ophthalmia

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.