A case of herpetic keratitis after subconjunctival triamcinolone acetonide injection
Hidenori Inoue1, Takashi Suzuki1, Takeshi Joko1
1Department of Ophthalmology, Ehime University, Graduate School of Medicine, Toon, Japan.
Purpose:
We report a case of herpetic epithelial keratitis that developed after subconjunctival triamcinolone acetonide injection (STI).
Methods:
A 65-year-old female with anterior uveitis and hypotony in her right eye was given a STI (2 mg/0.5 ml). After the injection, she developed redness and an ocular discharge. A clinical examination was performed and real-time polymerase chain reaction (PCR) was used to amplify the viral DNA in a corneal scraping.
Results:
Slit-lamp biomicroscopy revealed a severe purulent discharge, conjunctival injection, and a geographic corneal ulcer in the right eye. Herpes simplex virus 1 DNA was identified in the corneal scraping using real-time PCR. Herpetic keratitis was diagnosed and topical acyclovir ointment as well as systemic valacyclovir were started. The inflammation subsided with this medication.
Conclusion:
We encountered a case of herpetic epithelial keratitis after a STI.
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