case_images: PMC10552297_01
case_images: (A) Photo of the corneal ulcer in the right eye at initial diagnosis. (B) Photo of the corneal ulcer after fluorescein sodium staining at initial diagnosis.
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case_images: PMC10552297_01_fcimb-13-1268668-g001.jpg
case_images: f1
case_images: The cornea was edematous and opaque, and the Descemets folds.A round ulcer was seen in the center of the pupil, with a size of approximately 4 mmx4 mm, and the local corneal tissue in the center of the lesion was defective, thin, with gray and white opacities around it and at its base ( Figure 1 ).
case_images: (A) Gram-stained corneal scrapings showing unstained "ghost" bacilli. (B) On Ziehl-Neelsen counterstaining, the same part showed "ghost" bacilli with red color, which were acid-fast bacilli.
case_images: fcimb-13-1268668-g002.jpg
case_images: PMC10552297_01_fcimb-13-1268668-g002.jpg
case_images: f2
case_images: Unstained rod-shaped microorganisms were seen in the background ( Figure 2A ). By Ziehl-Neelsen counterstaining, the same site showed acid-fast bacilli ( Figure 2B ).
case_images: (A) Anterior chamber irrigation of the right eye, and autologous conjunctival flap covering the cornea 13 days after surgery. (B) Right anterior chamber irrigation, and autologous conjunctival flap covering the cornea 49 days after surgery.
case_images: fcimb-13-1268668-g003.jpg
case_images: PMC10552297_01_fcimb-13-1268668-g003.jpg
case_images: f3
case_images: The grafted bridge conjunctival flap was well covered ( Figure 3A ), the anterior chamber was moderately deep, and the condition of the other eye was unclear. The corneal ulcer healed 49 days after the operation ( Figure 3B ), and the combined systemic treatment was continued for half a year.