title: In Vivo Confocal Microscopy Use in Endotheliitis.
abstract: OBJECTIVE
  The use of in vivo confocal microscopy has been valuable in detecting and managing corneal pathology. This case study documents endotheliitis using in vivo confocal microscopy where apparent resolution of endothelial edema on clinical examination resulted in the discovery of subclinical findings with confocal scanning. The purpose of this case study was to discuss a rare corneal pathology and the clinical value of confocal scanning.
  
  
  METHODS
  A 30-year-old Asian Indian woman presented with unilateral endotheliitis and trabeculitis of presumed varicella zoster virus etiology. She was treated successfully with oral antiviral and topical corticosteroid therapy. Subclinical endotheliitis was detected using in vivo confocal microscopy, prompting the continuation of prophylactic, low-dose, topical corticosteroid therapy and topical hyperosmotics.
  
  
  CONCLUSIONS
  Further research is warranted to better understand the role of confocal microscopy in endotheliitis therapeutic management, endothelial cell count and morphology, and keratic precipitate characterization. To date, prophylactic oral antivirals and/or topical corticosteroids may play a role in immune suppression of the herpes virus, although prospective, randomized, controlled clinical trials have not focused specifically on endotheliitis cases.
authors.affiliation: *OD, FAAO †BS Midwestern University Arizona College of Optometry, Glendale, Arizona (both authors).
authors.forename: Tina Renae
authors.initials: TR
authors.lastname: Porzukowiak
authors.forename: Kelly
authors.initials: K
authors.lastname: Ly
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D015715:Corneal Edema / Q000175:diagnosis / Q000188:drug therapy; D004359:Drug Therapy, Combination; D004728:Endothelium, Corneal / Q000473:pathology*; D015828:Eye Infections, Viral / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D014645:Herpesvirus 3, Human; D006801:Humans; D007634:Keratitis / Q000175:diagnosis* / Q000188:drug therapy; D018613:Microscopy, Confocal; D011239:Prednisolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D011446:Prospective Studies
chemical_list: D000893:Anti-Inflammatory Agents; D000998:Antiviral Agents; C009935:prednisolone acetate; D011239:Prednisolone; D000212:Acyclovir