Presumed herpetic endotheliitis following phacoemulsification surgery.
The authors present an observational case series. Three cases of presumed herpetic endotheliitis presented as cases of pseudophakic bullous keratopathy many years after successful phacoemulsification surgery. All patients had reduction of vision in the involved eye, corneal oedema and secondary glaucoma. The patients were treated with medical therapy consisting of topical corticosteroids, antiviral and antiglaucoma drugs. Resolution of corneal oedema, control of glaucoma and restoration of visual acuity were achieved in all cases. Specular microscopy performed thereafter demonstrated relatively normal endothelial cell counts. The authors conclude that pseudophakic bullous keratopathy occurring after phacoemulsification surgery may be caused by herpetic endotheliitis.
Vajpayee
Rasik B
RB
Sharma
Namrata
N
Verma
Kamna
K
Saxena
Tishu
T
Tandon
Radhika
R
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002452:Cell Count; D015715:Corneal Edema / Q000188:drug therapy / Q000209:etiology; D004728:Endothelium, Corneal / Q000187:drug effects / Q000473:pathology*; D005260:Female; D005901:Glaucoma / Q000188:drug therapy / Q000209:etiology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure; D016849:Keratitis, Herpetic / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications
D000959:Antihypertensive Agents; D000998:Antiviral Agents; D005938:Glucocorticoids