title: A case of herpetic keratitis after subconjunctival triamcinolone acetonide injection.
abstract: OBJECTIVE
  We report a case of herpetic epithelial keratitis that developed after subconjunctival triamcinolone acetonide injection (STI).
  
  
  METHODS
  A 65-year-old female with anterior uveitis and hypotony in her right eye was given a STI (2 mg/0.5 ml). After the injection, she developed redness and an ocular discharge. A clinical examination was performed and real-time polymerase chain reaction (PCR) was used to amplify the viral DNA in a corneal scraping.
  
  
  RESULTS
  Slit-lamp biomicroscopy revealed a severe purulent discharge, conjunctival injection, and a geographic corneal ulcer in the right eye. Herpes simplex virus 1 DNA was identified in the corneal scraping using real-time PCR. Herpetic keratitis was diagnosed and topical acyclovir ointment as well as systemic valacyclovir were started. The inflammation subsided with this medication.
  
  
  CONCLUSIONS
  We encountered a case of herpetic epithelial keratitis after a STI.
authors.affiliation: Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Inoue
authors.affiliation: Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
authors.affiliation: Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Joko
authors.affiliation: Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Inoue
authors.affiliation: Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ohashi
keywords: Anterior uveitis; Herpetic keratitis; Hypotony; Polymerase chain reaction; Subconjunctival triamcinolone acetonide injection