Herpetic keratitis with iritis after corneal crosslinking with riboflavin and ultraviolet A for keratoconus

George D. Kymionis, Dimitra M. Portaliou, Dimitrios I. Bouzoukis, Leejee H. Suh, Aristofanis I. Pallikaris, Marinos Markomanolakis, Sonia H. Yoo

Research output: Contribution to journalArticle

147 Scopus citations

Abstract

A 21-year-old woman had crosslinking for keratoconus in the right eye; the left eye was scheduled for penetrating keratoplasty. Five days postoperatively, she presented with geographic epithelial keratitis and iritis. Analysis of tear samples by polymerase chain reaction confirmed the diagnosis. The patient was treated with oral steroids and acyclovir, with significant improvement. Two months postoperatively, the visual acuity was improved and there was no evidence of herpetic disease recurrence. Crosslinking can induce herpetic keratitis with iritis even in patients with no history of herpetic disease. Early diagnosis and proper treatment are essential for a favorable outcome.

Original languageEnglish (US)
Pages (from-to)1982-1984
Number of pages3
JournalJournal of cataract and refractive surgery
Volume33
Issue number11
DOIs
StatePublished - Nov 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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