Ophthalmologists beware of adenoviruses
Hanan Handor, Rajae Daoudi
Corresponding author: Hanan Handor, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc
Received: 27 Jul 2013 - Accepted: 12 Dec 2013 - Published: 15 Mar 2014
Domain: Clinical medicine
Keywords: Ophthalmologists, adenoviruses, keratoconjunctivitis
©Hanan Handor et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Hanan Handor et al. Ophthalmologists beware of adenoviruses. Pan African Medical Journal. 2014;17:205. [doi: 10.11604/pamj.2014.17.205.3153]
Available online at: https://www.panafrican-med-journal.com//content/article/17/205/full
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
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)