Choi Won Seok, Cho Joon Hee, Kim Ha Kyoung, Kim Hyun Soo, Shin Young Joo
Dapartment of Ophthalmology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Korean J Ophthalmol. 2013 Apr;27(2):130-2. doi: 10.3341/kjo.2013.27.2.130. Epub 2013 Feb 27.
We report a case of CMV corneal endotheliitis that was treated with intravitreal ganciclovir injection. A 56-year-old man who has suffered from uveitis was referred to our clinic due to corneal endothelial abnormality. Slit lamp examination showed a localized sectoral corneal edema and linear keratic precipitates along the boundary of edema. In spite of treatment with oral steroid and acyclovir, the disease progressed and two new coin-like lesions were developed. After topical ganciclovir and intavitreal injection of ganciclovir, the corneal lesions disappeared.
我们报告了一例采用玻璃体内注射更昔洛韦治疗的巨细胞病毒性角膜内皮炎病例。一名患有葡萄膜炎的56岁男性因角膜内皮异常被转诊至我们的诊所。裂隙灯检查显示局部扇形角膜水肿以及沿水肿边界的线状角膜后沉着物。尽管使用了口服类固醇和阿昔洛韦进行治疗,病情仍进展,并且出现了两个新的硬币状病变。在局部应用更昔洛韦和玻璃体内注射更昔洛韦后,角膜病变消失。