PURPOSE:
To
report a case of
Epstein-Barr virus-related corneal endotheliitis accompanied by
secondary glaucoma.CASE
SUMMARY:
A 73-year-old
male presented with blurred
vision in his right
eye. In the ophthalmic evaluation, there were dispersed keratic precipitates overlying
corneal edema. The
anterior chamber showed trace ~1+ graded
inflammation and an endothelial density decrease. His best-corrected
visual acuity and
intraocular pressure in the right
eye were 0.2 and 34 mmHg, respectively.
Paracentesis was performed on the
anterior chamber of the right
eye to confirm the
diagnosis under the suspicion of corneal endotheliitis with
trabeculectomy for the
intraocular pressure control.
Epstein-Barr virus was confirmed using a
multiplex polymerase chain reaction (
PCR), and oral and
eye drops of
Acyclovir were used to treat the
patient. There was no evidence of a
recurrence over 2 years and his
intraocular pressure was 12 mmHg and best-corrected
visual acuity was maintained at 0.5.
CONCLUSIONS:
A case of
Epstein-Barr virus-related corneal endotheliitis was diagnosed using
PCR of the
aqueous humor. The
patient was treated with an oral
antiviral agent and
eyedrops without a
recurrence.