雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Herpetic corneal endotheliitis in a case after deep lamellar keratoplasty for bacterial keratitis Tomoko Tsukahara 1 , Jane Huang 1 , Takashi Oyamada 1 , Eiichi Uchio 1 1Dept of Ophthalmol,Fukuoka Univ Sch of Med pp.1287-1291
Published Date 2010/8/15
DOI https://doi.org/10.11477/mf.1410103289
  • Abstract
  • Look Inside
  • Reference

Abstract. Purpose:To report a case who developed herpetic corneal endotheliitis following deep lamellar keratoplasty for bacterial keratitis. Case:A 58-year-old male presented with hyperemia,ocular pain and impaired visual acuity in the right eye. He had received deep lamellar keratoplasty for bacterial keratitis 14 months before and cataract surgery 6 months before. He had visual acuity of 0.8. Findings:His corrected visual acuity was 0.07 right. The right eye showed folds of descemet membrane with keratic precipitates. The findings were suggestive of graft rejection. The aqueous humor was positive for herpes zoster virus after processing by PCR. Antiviral treatment failed to improve the clinical findings. He was then treated with systemic antiviral agents and prednisolone. The corneal lesion improved and resulted in visual acuity of 0.7 five months later. Conclusion:This case illustrates that herpetic corneal endotheliitis may simulate graft rejection and pose diagnostic difficulties in an eye with a history of keratoplasty. The present case resulted in fair outcome after prompt diagnosis followed by systemic treatment with antiviral agents and corticosteroid.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

関連文献

もっと見る

文献を共有