A case of blurred vision and viral keratitis postcataract surgery. (December 2018)

• Record Type: Journal Article
• Authors: Ding, Tong; Chou, Yilin; Jiang, Xiaodan; Qiu, Weiqiang; Shi, Danna; Wu, Feng; Li, Xuemin
• Is Part Of: Future virology. Volume 13:Number 12(2018)
• Page Start: 829
• Page End: 833
• Publication Date: 2018-12
• Subjects: antiviral agents -- confocal microscopy -- cytomegalovirus -- Epstein–Barr virus -- eye drop cytotoxicity -- postsurgery keratitis -- real-time PCR -- steroid -- tear sample -- viral keratitis; Virology -- Periodicals; Virus diseases -- Treatment -- Periodicals; 616.9101
• DOI: 10.2217/fvl-2018-0156
• Languages: English
• ISSNs: 1746-0794

Abstract

An 84-year-old woman underwent cataract surgery. In 3 weeks, the right eye presented with blurred vision, corneal irritation and photophobia. After 5 weeks, symptoms in the right eye worsened and ganciclovir was prescribed. Based on clinical findings, viral keratitis was suspected; real-time PCR (RT-PCR) assay of tear samples from the right eye was performed. Thereafter 1 week, the left eye also exhibited similar symptoms. The RT-PCR was performed using a sample from the left eye; the results suggested the presence of Epstein–Barr virus and cytomegalovirus. A combination of confocal microscopy and RT-PCR assay of tear samples can supplement slit-lamp observation and help diagnose atypical and refractory postcataract surgery viral keratitis.