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Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report

RATIONALE: Epithelial keratitis is a common complication after cataract surgery. Many factors have been attributed to this clinical phenomenon. PATIENT CONCERNS: An 82-year-old woman without previous herpes simplex keratitis (HSK) underwent an uncomplicated clear corneal phacoemulsification procedur...

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Autores principales: Zou, Ming, Zhang, Yi, Huang, Xi, Gao, Sheng, Liu, Chunling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708949/
https://www.ncbi.nlm.nih.gov/pubmed/31348301
http://dx.doi.org/10.1097/MD.0000000000016591
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author Zou, Ming
Zhang, Yi
Huang, Xi
Gao, Sheng
Liu, Chunling
author_facet Zou, Ming
Zhang, Yi
Huang, Xi
Gao, Sheng
Liu, Chunling
author_sort Zou, Ming
collection PubMed
description RATIONALE: Epithelial keratitis is a common complication after cataract surgery. Many factors have been attributed to this clinical phenomenon. PATIENT CONCERNS: An 82-year-old woman without previous herpes simplex keratitis (HSK) underwent an uncomplicated clear corneal phacoemulsification procedure in the right eye. In the late postoperative period, epithelial keratitis developed in this same eye. DIAGNOSIS: An initial diagnosis of HSK was made clinically. The lesion was refractory to antiviral treatment and had progressed. After topical acyclovir cessation and vigorous lubrication, a diagnosis of toxic keratitis was finally made. OUTCOMES: The corneal epithelial defect and dendritic lesion presented initially. Responding to antiviral treatment, this corneal lesion aggravated and revealed large epithelial erosion. After topical acyclovir cessation and initiation of vigorous lubrication, the toxic keratitis was completely resolved. LESSONS: Epithelial keratitis following cataract surgery is a common complication and can be misdiagnosed early in its disease course. Physicians should be alert to the possibility of HSK. Polymerase chain reaction detection is helpful in diagnosing this disease.
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spelling pubmed-67089492019-10-01 Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report Zou, Ming Zhang, Yi Huang, Xi Gao, Sheng Liu, Chunling Medicine (Baltimore) Research Article RATIONALE: Epithelial keratitis is a common complication after cataract surgery. Many factors have been attributed to this clinical phenomenon. PATIENT CONCERNS: An 82-year-old woman without previous herpes simplex keratitis (HSK) underwent an uncomplicated clear corneal phacoemulsification procedure in the right eye. In the late postoperative period, epithelial keratitis developed in this same eye. DIAGNOSIS: An initial diagnosis of HSK was made clinically. The lesion was refractory to antiviral treatment and had progressed. After topical acyclovir cessation and vigorous lubrication, a diagnosis of toxic keratitis was finally made. OUTCOMES: The corneal epithelial defect and dendritic lesion presented initially. Responding to antiviral treatment, this corneal lesion aggravated and revealed large epithelial erosion. After topical acyclovir cessation and initiation of vigorous lubrication, the toxic keratitis was completely resolved. LESSONS: Epithelial keratitis following cataract surgery is a common complication and can be misdiagnosed early in its disease course. Physicians should be alert to the possibility of HSK. Polymerase chain reaction detection is helpful in diagnosing this disease. Wolters Kluwer Health 2019-07-26 /pmc/articles/PMC6708949/ /pubmed/31348301 http://dx.doi.org/10.1097/MD.0000000000016591 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research Article
Zou, Ming
Zhang, Yi
Huang, Xi
Gao, Sheng
Liu, Chunling
Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title_full Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title_fullStr Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title_full_unstemmed Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title_short Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: A case report
title_sort epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708949/
https://www.ncbi.nlm.nih.gov/pubmed/31348301
http://dx.doi.org/10.1097/MD.0000000000016591
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