case_images: PMC11803530_01
case_images: Slit-lamp examination revealed marked dryness and folds in the bilateral ocular conjunctiva associated with xerophthalmia. The figures presented show fluorescein staining of the eyes.. a. The right cornea exhibited ulceration and dense superficial punctate keratopathy.. b. The left cornea displayed softening and edematous opacity with the loss of the corneal epithelial barrier.. c. The right eye appeared normal.. d. The left anterior chamber was flat, and the cornea was edematous and thickened.
case_images: cureus-0017-00000077129-i01.jpg
case_images: PMC11803530_01_cureus-0017-00000077129-i01.jpg
case_images: FIG1
case_images: The right cornea lacked its epithelial layer, and the left cornea displayed ulceration and opacity (Figures 1a, 1b). Anterior segment optical coherence tomography (OCT) revealed a loss of the anterior chamber in the left eye (Figures 1c, 1d).
case_images: Color fundus photographs and OCT. a. On the day of the initial examination, the fundus photograph revealed optic disc swelling in the right eye. Photography of the left eye was impossible due to severe corneal opacity.. b, c. Day 15 of treatment. The fundus became translucent, but optic disc swelling remained prominent. OCT demonstrated obvious disc swelling.. d. Day 35 of treatment. Swelling of the disc was reduced.. OCT: Optical coherence tomography
case_images: cureus-0017-00000077129-i02.jpg
case_images: PMC11803530_01_cureus-0017-00000077129-i02.jpg
case_images: FIG2
case_images: Color fundus photography showed papilledema in the right eye (Figure 2a). The papilledema in the right eye gradually resolved (Figures 2b-2d).
case_images: Skin electrode electroretinogram in the right eye before treatment. Full-field electroretinography of the right eye reveals a reduction in combined rod-cone and oscillatory potential.  The left eye was unmeasurable due to noise.
case_images: cureus-0017-00000077129-i03.jpg
case_images: PMC11803530_01_cureus-0017-00000077129-i03.jpg
case_images: FIG3
case_images: A skin electrode electroretinogram (SEE) showed attenuated responses (a, b, and OP waves) in the right eye, with undetected responses in the left eye (Figure 3).
case_images: Contrast-enhanced MRI of the head . Contrast-enhanced MRI after admission showed a mild contrast-enhanced effect in the left peripapillary and anterior optic nerve. There was no hyperostotic change.
case_images: cureus-0017-00000077129-i04.jpg
case_images: PMC11803530_01_cureus-0017-00000077129-i04.jpg
case_images: FIG4
case_images: Contrast-enhanced magnetic resonance imaging (MRI) of the head showed mild enhancement in the left peripapillary and anterior optic nerves, but no bone overgrowth (Figure 4).
case_images: PMC11803530_02
case_images: Anterior segment findings at initial examination. a. Slit-lamp examination revealed marked dryness, conjunctival, and corneal keratosis in the right eye.. b. The left eye appeared normal.
case_images: cureus-0017-00000077129-i05.jpg
case_images: PMC11803530_02_cureus-0017-00000077129-i05.jpg
case_images: FIG5
case_images: A slit-lamp examination revealed decreased wetting, keratoconjunctival keratosis, and corneal opacity in the right eye (Figure 5).
case_images: Anterior segment finding after oral administration of multivitamins of case 2 . a. Dryness and keratinization had improved and the cornea became clear in the right eye. . b. The left eye remained normal.
case_images: cureus-0017-00000077129-i06.jpg
case_images: PMC11803530_02_cureus-0017-00000077129-i06.jpg
case_images: FIG6
case_images: Corneal transparency was observed after approximately 20 days (Figure 6).