A Rare Case of Corneal Perforation Secondary to Gonococcal Keratoconjunctivitis

Gonococcal keratoconjunctivitis (GKC) is an aggressive infection caused by <i>Neisseria gonorrhoeae</i>, which can cause an acute, dreadful, ulcerative keratitis resulting in blindness if left untreated. We report a rare case of bilateral GKC complicated with left eye corneal perforation. A 20-year-old male presented with bilateral eye purulent discharge associated with vision loss over the left eye for two weeks prior to presentation. Gram stain from purulent discharge showed gram-negative diplococci and cultured positive for <i>N. gonorrhoeae</i>. Left eye corneal perforation was managed with cyanoacrylate glue and a bandage contact lens. Systemic and topical antibiotic treatments were administered. Resolution was achieved with the administration of one gram of intramuscular ceftriaxone in a single dose, and the patient had no recurrences. Prompt and effective antibiotic administration in the early stage of disease contributed to an adequate recovery in this case.