Presentation
PURPOSE: To present an atypical case of herpes simplex virus (HSV) endotheliitis. [ncbi.nlm.nih.gov]
Eyes
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Corneal Opacity
A systemic work-up, including serologic tests like serum protein or cholesterol levels, is needed in patients with unexplainable corneal opacity. [ncbi.nlm.nih.gov]
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Corneal Irritation
irritation stimulated an intense eye rubbing with epithelial trauma. [eyewiki.org]
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Periorbital Rash
Previously reported ocular adverse reactions of erlotinib include trichomegaly, periorbital rash, ectropion, blepharitis, persistent corneal epithelial defect, corneal ulcer and perforation. [ncbi.nlm.nih.gov]
Face, Head & Neck
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Facial Swelling
He complained of ocular and facial pain, facial swelling, and transient blurred vision. First aid by the beach included a hot shower and methoxyflurane for the pain. [ncbi.nlm.nih.gov]
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Facial Pain
He complained of ocular and facial pain, facial swelling, and transient blurred vision. First aid by the beach included a hot shower and methoxyflurane for the pain. [ncbi.nlm.nih.gov]
Neurologic
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Reduced Consciousness
BACKGROUND: Patients with reduced consciousness level suffer from eye protection disorder and Keratopathy. [ncbi.nlm.nih.gov]
Workup
Hematologic workup resulted in a diagnosis of IgG kappa multiple myeloma. Histopathology was significant for semicrystalline deposits in the posterior stroma. The patient's visual acuity improved to 20/50 7 months after penetrating keratoplasty. [ncbi.nlm.nih.gov]
Band-shaped keratopathy presenting without an obvious etiology merits a complete systemic and ophthalmic workup. [ijo.in]
Clinical examination: A general medical workup is advisable in patients with systemic association of the disease. Examination of eyes should be carried out under slit lamp (bio-microscopy) by an eye specialist. [aimu.us]
Treatment
New potential treatments include collagen cross-linking (CXL), cultured endothelial cell injection, and topical treatment with Rho-associated kinase (ROCK) inhibitor. [ncbi.nlm.nih.gov]
Prognosis
Amniotic membrane transplant may be considered as a longer-term treatment for bullous keratopathy patients, especially in patients with poorer visual prognosis, but it may also be used as an interim measure for patients awaiting corneal transplant. [ncbi.nlm.nih.gov]
Patients with familial idiopathic BSK could be cases with poor prognosis for treatment with EDTA due to an early recurrence of the disease. [ijo.in]
(See Prognosis, Treatment, and Medication.) Etiology Corneal deposition of calcium salt Serum and normal body fluids (eg, tears, aqueous humor) contain calcium and phosphate in concentrations that approach their solubility product. [emedicine.medscape.com]
Prognosis Mild EK has an excellent prognosis, with most if not all patients making a full recovery if the cornea remains intact without erosion, ulceration, or microbial infection. [18] Severe cases can lead to scarring, perforation and permanent vision [eyewiki.aao.org]
Etiology
There was no evidence of infectious or systemic etiologies. Genetic testing for the UBIAD1 gene for Schnyder corneal dystrophy was negative. [ncbi.nlm.nih.gov]
Another common etiology of neurotrophic keratopathy is diabetes mellitus. Diabetes either may be the primary cause of neurotrophic keratopathy or secondarily may predispose patients to this condition. [aao.org]
Epidemiology
The Epidemiology of Eye Disease. Johnson GJ, Minassian DC, Weale RA and West SK: 58:(3rd). Singapore: World Scientific Publishing Company. 82012. 6. [spandidos-publications.com]
A.Congenital upper eyelid coloboma: embryologic, nomenclatorial, nosologic, etiologic, pathogenetic, epidemiologic, clinical, and management perspectives. [eyewiki.aao.org]
Pathophysiology
The pathophysiology of this condition remains elusive to date and highlights the challenges of noninvasive diagnostic techniques and yet the utility of molecular genetic analysis in elucidating the etiology of this unique clinical presentation. [ncbi.nlm.nih.gov]
A discussion of the causes, pathophysiology, and treatment of interstitial keratitis is also undertaken. The differential diagnosis and appropriate laboratory tests for patients with interstitial keratitis is given. [morancore.utah.edu]
Pathophysiology The cornea has a high density of nerve endings from the long posterior ciliary nerves and is 100 times more sensitive than the conjunctiva. [aao.org]
Prevention
FINDINGS: The use of poly ethylene cover (0.59 0.665) was significantly more effective in prevention of keratopathy than other methods (P 0.001). [ncbi.nlm.nih.gov]
Whatever you’re doing to prevent DLK should be good at preventing this as well.” Editors’ note : All of the physicians interviewed have financial affiliations with Advanced Medical Optics (Santa Ana, Calif.). [eyeworld.org]