Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty
A 78.year.old male underwent ultra.thin DSAEK for PBK (OS) and achieved BCVA 6/12 at 9 months. The patient developed allograft rejection 10 months postoperatively and was treated with IV methyl prednisolone, systemic, and topical steroids. The patient then improved and achieved 6/18 BCVA at 8 weeks....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=2;spage=438;epage=440;aulast=Sharma |
| _version_ | 1818446032029089792 |
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| author | Ashok Sharma Rajan Sharma |
| author_facet | Ashok Sharma Rajan Sharma |
| author_sort | Ashok Sharma |
| collection | DOAJ |
| description | A 78.year.old male underwent ultra.thin DSAEK for PBK (OS) and achieved BCVA 6/12 at 9 months. The patient developed allograft rejection 10 months postoperatively and was treated with IV methyl prednisolone, systemic, and topical steroids. The patient then improved and achieved 6/18 BCVA at 8 weeks. Topical prednisolone 1% twice daily was continued. Six weeks later, the patient developed fever and diminished vision and had high IOP, corneal edema, and keratic precipitates on endothelium. Considering it to as second episode of graft rejection, IV methyl prednisolone and topical steroids were given. Seeing no response, presumed HSV endotheliitis was considered as diagnosis and treated with steroids, oral acyclovir. The patient improved and achieved BCVA 6/24 with no subsequent recurrence during 11 months follow.up. |
| first_indexed | 2024-12-14T19:41:16Z |
| format | Article |
| id | doaj.art-f5092a50921f41faa662c0af381e9ea7 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-14T19:41:16Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-f5092a50921f41faa662c0af381e9ea72022-12-21T22:49:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-0169243844010.4103/ijo.IJO_1379_20Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplastyAshok SharmaRajan SharmaA 78.year.old male underwent ultra.thin DSAEK for PBK (OS) and achieved BCVA 6/12 at 9 months. The patient developed allograft rejection 10 months postoperatively and was treated with IV methyl prednisolone, systemic, and topical steroids. The patient then improved and achieved 6/18 BCVA at 8 weeks. Topical prednisolone 1% twice daily was continued. Six weeks later, the patient developed fever and diminished vision and had high IOP, corneal edema, and keratic precipitates on endothelium. Considering it to as second episode of graft rejection, IV methyl prednisolone and topical steroids were given. Seeing no response, presumed HSV endotheliitis was considered as diagnosis and treated with steroids, oral acyclovir. The patient improved and achieved BCVA 6/24 with no subsequent recurrence during 11 months follow.up.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=2;spage=438;epage=440;aulast=Sharmadescemet′s stripping automated endothelial keratoplastyendothelial keratoplastyherpes simplex virushsv endotheliitisviral endotheliitis |
| spellingShingle | Ashok Sharma Rajan Sharma Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty Indian Journal of Ophthalmology descemet′s stripping automated endothelial keratoplasty endothelial keratoplasty herpes simplex virus hsv endotheliitis viral endotheliitis |
| title | Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty |
| title_full | Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty |
| title_fullStr | Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty |
| title_full_unstemmed | Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty |
| title_short | Presumed herpes simplex virus endotheliitis following ultra-thin Descemet's stripping automated endothelial keratoplasty |
| title_sort | presumed herpes simplex virus endotheliitis following ultra thin descemet s stripping automated endothelial keratoplasty |
| topic | descemet′s stripping automated endothelial keratoplasty endothelial keratoplasty herpes simplex virus hsv endotheliitis viral endotheliitis |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=2;spage=438;epage=440;aulast=Sharma |
| work_keys_str_mv | AT ashoksharma presumedherpessimplexvirusendotheliitisfollowingultrathindescemetsstrippingautomatedendothelialkeratoplasty AT rajansharma presumedherpessimplexvirusendotheliitisfollowingultrathindescemetsstrippingautomatedendothelialkeratoplasty |