A case of ocular hypertension secondary to epidemic keratoconjunctivitis Yukiko Sonomura 1 , Akiyo Matsumoto 2 , Kazuhiko Mori 2 , Shigeru Kinoshita 2 1Dept of Ophthalmol, Osaka Saiseikai Nakatsu Hosp 2Dept of Ophthalmol, Kyoto Prefectural Univ of Med pp.79-82
Published Date 2002/1/15
DOI https://doi.org/10.11477/mf.1410907597
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A 49-year-old male sought medical advice for headache and ocular pain. Both eyes showed signs of acute conjunctivitis with elevated intraocular pressure (IOP) of 74mmHg each. When seen by us 2 days later, he showed typical features of epidemic keratoconjunctivitis with IOP of 48mmHg right and 58mmHg left. Both eyes had deep anterior chamber with wide-open angle. Adenovirus was detected in the tear fluid. After temporary decrease in IOP following medications, the IOP rose again to about 70mmHg in either eye from 6 days after visiting us. The IOP decreased spontaneously below 20mmHg after the conjunctivitis subsided about 2 weeks after his initial visit. He had no history of ocular hypertension. Corticosteroid glaucoma was also ruled out. This case illustrates that acute ocular hypertension is a liability in epidemic keratoconjunctivitis, presumably secondary to concomitant scleritis.

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