A Case of Herpes Simplex Keratitis after Descemet Membrane Endothelial Keratoplasty
Journal of the Korean Ophthalmological Society
;
: 75-79, 2019.
Artigo
em Coreano
| WPRIM
| ID: wpr-738588
ABSTRACT
PURPOSE:
We report a case of herpes simplex keratitis after Descemet membrane endothelial keratoplasty (DMEK). CASESUMMARY:
A 67-year-old male underwent DMEK in his left eye due to pseudophakic bullous keratopathy. One week after DMEK, re-bubbling was performed due to partial detachment of Descemet's membrane at the corneal periphery. After re-bubbling, the cornea remained clear and the patient's visual acuity gradually improved. Two months after DMEK, the patient presented with mild discomfort and decreased visual acuity. The cornea showed an irregular, narrow dendrite with an epithelial defect and surrounding opacity. After confirming that Descemet's membrane was attached, the patient was started on oral valacyclovir for suspected herpes keratitis. Herpes simplex virus type 1 was eventually identified by polymerase chain reaction. The corneal lesion resolved after three weeks of antiviral treatment.CONCLUSIONS:
Similar to penetrating keratoplasty, DMEK can trigger outbreaks of herpes simplex keratitis. Herpes simplex keratitis should remain on the clinician's differential diagnosis for patients who present with a corneal epithelial irregularity and decreased visual acuity following DMEK.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Acuidade Visual
/
Reação em Cadeia da Polimerase
/
Surtos de Doenças
/
Transplante de Córnea
/
Ceratoplastia Penetrante
/
Ceratite Herpética
/
Herpesvirus Humano 1
/
Córnea
/
Dendritos
/
Lâmina Limitante Posterior
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2019
Tipo de documento:
Artigo
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