Home | Volume 17 | Article number 205

Original article

Ophthalmologists beware of adenoviruses

Ophthalmologists beware of adenoviruses

 

Hanan Handor1,&, Rajae Daoudi1

 

1Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

&Corresponding author
Hanan Handor, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

Image in medicine

Epidemic keratoconjunctivitis caused by different serotypes of human adenoviruses is an explosive and highly contagious ocular surface infection. This is the case of a young ophthalmologist who presented a filamentary keratitis complicating an adenoviral keratoconjunctivitis. Filamentary keratitis is a chronic and debilitating disorder related to dry eye syndrome. Patients with filamentary keratitis report ocular discomfort ranging from mild foreign-body sensation to severe ocular pain. Filaments are composed of mucin, and degenerating and regenerating epithelial cells of the cornea. Current management of filamentary keratitis involves treating the underlying dry eye (non preserved lubricants, topical steroidal agents, and punctal plugs) and mechanical removal of filaments.

Figure 1: A) fibrosis of the tarsal conjunctiva in response to severe adenoviral Keratoconjunctivitis (yellow arrow); (B,C): mucus filament adhering to the corneal surface (yellow arrows)