A 46-year-old man presented for consultation with viral conjunctivitis in the right eye (OD) that had been evolving for ten days and had not improved with treatment with tobramycin and dexamethasone.
His personal history includes condylomas on the penis without urethritis six months ago and current permissive sexual relations.
Ophthalmological examination showed visual acuity in OD of light perception and projection. Biomicroscopy of the anterior pole of the OD showed superior corneal thinning with an imminent risk of ocular perforation and the patient was treated with corneal coating with multilayer amniotic membrane.

As the conjunctival exudate culture results were positive for Neisseria Gonorrhoeae, intravenous antibiotic treatment was started with ceftriaxone at a dose of 1g/12 h and topical treatment with ceftriaxone reinforced eye drops (50 mg/ml) for 21 days.
One month later, the patient's OD visual acuity was 0.8; biomicroscopy of the anterior pole showed superior corneal fibrosis with good transparency in the central part and a well-formed anterior chamber.

