Complimentary and alternative medicine (CAM) is rapidly growing in popularity among patients with a broad range of medical conditions. Epidemiologic studies over the past few decades have demonstrated the widespread use of CAM by patients and a wide range of vitamins and herbs are suggested for the 'management' of ocular conditions. The most frequently reported herbs used for ocular health include Great Ginkgo Biloba, Bilberry and Ginseng.1 Currently in New Zealand and Australia, there is no specific legislation to regulate CAM practitioners, with the exception of chiropractors who are regulated by the Chiropractors Act (1982). We report a case of bilateral severe corneal melting and perforation associated with the topical use of plant material on the corneal surface as a form of CAM.
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