Posters

Epithelial keratitis mimicking herpes simplex keratitis in a patient after cataract surgery

Poster Details

First Author: R.Abdi MOROCCO

Co Author(s):    A. Rhizlane   S. Chariba   A. Maadan   R. Sekhsoukh           

Abstract Details

Purpose:

Epithelial keratitis is a common complication following cataract surgery;Due to the combination of surgical trauma and topical corticosteroid treatment, which is commonly prescribed after surgery, Herpes simplex virus (HSV) recurrence, or new-onset HSV following cataract surgery, is a common clinical scenario; Here, we report a case of epithelial keratitis following uncomplicated cataract extraction.

Setting:

university hospital center mehammed VI oujda morocco

Methods:

60 years old patient, who benefited of cataract surgery by phacoemulsification.On postoperative day 20, the patient complained of an abrupt, serious decline of visual acuity in the right eye, accompanied by photophobia, redness, and eye pain The case was initially misdiagnosed as herpes simplex keratitis (HSK)and led to vision deterioration; however, a normal visual outcome was ultimately achieved.

Results:

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.

Conclusions:

Clinicians should be aware of the complicated progress of corneal epithelial lesions after routine cataract extraction, close follow-up and empiric treatment are warranted.

Financial Disclosure:

None