Adult gonococcal keratoconjunctivitis: early detection is key

  • Daniel Lai Dubbo Eye Centre
  • Keith Ong University of Sydney/ Royal North Shore Hospital/ Ryde Hospital/ Dalcross Adventist Hospital
Keywords: corneal perforation, gonococcal conjunctivitis, Neisseria gonorrhoeae


We describe a case of a 52-year-old male presenting with severe mucopurulent conjunctivitis of the right eye. Corneal ulceration and associated anterior chamber activity was noted later in the course of the disease. Neisseria gonorrhoeae was positive on polymerase chain reaction (PCR) testing earlier than traditional microscopy and culture. He was successfully treated with ceftriaxone 500 mg intravenously and azithromycin 1 g orally as single doses in addition to ofloxacin ophthalmic solution 0.3% hourly to the right eye. This case highlights the need to consider the possibility of gonococcus in cases of suspected bacterial conjunctivitis, careful monitoring for corneal involvement and the importance of early detection with PCR.

Author Biography

Keith Ong, University of Sydney/ Royal North Shore Hospital/ Ryde Hospital/ Dalcross Adventist Hospital

Clinical Senior Lecturer

University of Sydney


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How to Cite
Lai, D., & Ong, K. (2020). Adult gonococcal keratoconjunctivitis: early detection is key. Asian Journal of Ophthalmology, 17(1), 30-34.
Case Reports/Case Series