Posters
Molluscum contagiosum keratitis
Poster Details
First Author: S.Nabili UK
Co Author(s):
Abstract Details
Purpose:
This case illustrates the clinical features, work up, differential diagnosis and management of Molluscum Contagiosum keratitis.
Setting:
Ophthalmology Department – University Hospitals of Morecambe Bay – Kendal – UK.
Methods:
This is a retrospective case review of a 36 year old lady referred by his general practitioner with a history of the right red eye associated with discomfort and reduced vision. She was quite healthy with no previous ophthalmic history. Physical findings were bilateral blepharitis, an upper right lid cystic lesion, right conjunctivitis and punctate keratitis. Initially, she was diagnosed with “blepharokeratoconjunctivitis" and treated with topical Fusidic acid 1% eye drops and advised on lid scrub with diluted baby shampoo following taking swabs for bacteriology, chlamydia and herpes simplex.
Results:
After 2 weeks, the patient presented with reduced vision to 6/24 associated with discomfort. The eyelid nodule with a central umbilication raised suspicion of Molluscum Contagiosum .The lesion was excised under local anaesthesia. Meanwhile, with the provisional diagnosis of Molluscum keratitis, Dexamethasone sodium phosphate 0.1% q6h and was commenced. The histological examination confirmed the diagnosis of Molluscum Contagiosum. During 4 weeks of treatment with Dexamethasone sodium phosphate 0.1% q6h, her symptoms gradually improved. The vision improved to 6/9 unaided. The eyelid lesion did not recur. Right Ciliary injection and punctate keratitis settled.
Conclusions:
The diagnosis of Molluscum keratitis can be challenging, particularly if the neighbouring eyelid lesion does not initially manifest as a typical Molluscum Contagiousum lesion. This case illustrates the clinical course and treatment of a patient with intractable keratoconjunctivitis who responded well to the appropriate management of her eyelid Molluscum Contagiosum.
Financial Disclosure:
None
