Transcending the red eye: a nearly missed case of adult gonococcal conjunctivitis.

Gonorrhoea is a sexually transmitted disease with a rising incidence worldwide. Adult gonococcal conjunctivitis is relatively uncommon but poses significant risks, including corneal perforation if not treated promptly. Diagnosis can be challenging, and delayed or misdiagnosis may occur due to its resemblance to other common forms of conjunctivitis. We reported a case of a 35-year-old sexually active male with persistent unilateral conjunctivitis that did not respond to standard topical antibiotics. Further investigation revealed Neisseria gonorrhoeae as the causative organism. Despite developing corneal thinning, the patient responded well to prompt systemic and topical antibiotics, with preservation of vision. This case highlights the importance of taking a comprehensive history, including sexual history, to facilitate early detection and treatment, which can help prevent complications