A 10-year-old female presented to outpatient department with redness and discharge in both eyes. Her visual acuity was 20/20 in both the eyes. On examination, she had conjunctival congestion in both eyes with mucopurulent discharge. The cornea was clear and the rest of the ocular examination was normal. A conjunctival swab was taken, and it showed Gram-positive cocci on Gram staining.
A diagnosis of acute mucopurulent conjunctivitis of bacterial origin was made. She was started on 0.5% preservative-free moxifloxacin four times a day and kept on follow-up. Three days later, she came back with severe pain, redness, photophobia, watering and a drop in visual acuity in both the eyes. On examination, her visual acuity was 20/400, and she had circumcorneal congestion with corneal edema (image attached). There was a small epithelial defect with superficial punctate keratitis in both the eyes.…
