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病毒性角膜炎临床病例

A Clinical Case of Viral Keratitis.

作者信息

Gupta Devanshu, Daigavane Sachin

机构信息

Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Oct 14;14(10):e30311. doi: 10.7759/cureus.30311. eCollection 2022 Oct.

Abstract

Keratitis is a pathological condition involving inflammation of the cornea. It can be an infectious or non-infectious disease. The causative organisms of keratitis are categorized as bacteria, viruses, fungi, or parasites. The viruses responsible for causing keratitis are herpes simplex virus (HSV), varicella-zoster virus, and adenoviruses. The clinical features of this infection may range from pain and redness of the eye to scarring of the cornea or blindness. We present the case of a 71-year-old elderly female patient suffering from viral (HSV) keratitis. She was referred to the department of ophthalmology with complaints of diminution of vision and watering in the right eye associated with pain and redness for one month, which was progressive and gradual in onset. On local examination, the surface of the cornea was irregular in the right eye, with the presence of old keratitis precipitates. Viral infection is the second leading cause of keratitis and is very common in the western world. Because the transmission is due to droplets and fomites, strict measures must be taken to prevent transmission. If anyone comes in contact, prophylactic antiviral therapy can be administered. The prognosis is favorable if adequately treated. It can lead to blindness if not treated on time.

摘要

角膜炎是一种涉及角膜炎症的病理状况。它可以是感染性或非感染性疾病。角膜炎的致病生物可分为细菌、病毒、真菌或寄生虫。引起角膜炎的病毒有单纯疱疹病毒(HSV)、水痘-带状疱疹病毒和腺病毒。这种感染的临床特征从眼睛疼痛和发红到角膜瘢痕形成或失明不等。我们报告一例71岁老年女性患者患有病毒性(HSV)角膜炎的病例。她因右眼视力减退、流泪伴疼痛和发红一个月而被转诊至眼科,症状呈进行性且起病逐渐。局部检查时,右眼角膜表面不规则,有陈旧性角膜炎沉淀物。病毒感染是角膜炎的第二大主要病因,在西方世界非常常见。由于传播途径是飞沫和污染物,必须采取严格措施预防传播。如果有人接触,可给予预防性抗病毒治疗。如果治疗得当,预后良好。如果不及时治疗,可能导致失明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f8/9659497/f8d788d72a88/cureus-0014-00000030311-i01.jpg

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