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A stepping stone in treating dendritic keratitis.

Hosam Sheha1,2, Sean Tighe1,2, Anny M S Cheng1,2

  • 1Ocular Surface Center, Miami, FL, USA.

American Journal of Ophthalmology Case Reports
|December 21, 2017
PubMed
Summary
This summary is machine-generated.

Self-retained amniotic membrane after debridement effectively treats recurrent dendritic keratitis. This approach promotes corneal healing without scarring or recurrence, even with non-compliance to antiviral therapy.

Keywords:
Amniotic membraneAntiviralDendritic keratitisInterferon

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Area of Science:

  • Ophthalmology
  • Regenerative Medicine

Background:

  • Recurrent dendritic keratitis poses a significant challenge in ophthalmic practice.
  • Standard treatments often involve antiviral medications and debridement, but recurrence and scarring can occur.

Observation:

  • A case study involving a 70-year-old female with recurrent dendritic keratitis.
  • Treatment consisted of debridement followed by the application of a self-retained amniotic membrane.
  • The patient demonstrated complete symptom resolution, reduced inflammation, and corneal re-epithelialization within five days.

Findings:

  • The self-retained amniotic membrane facilitated rapid corneal healing and visual acuity improvement.
  • The corneal surface remained stable for 18 months post-treatment, despite inconsistent antiviral medication use.
  • The amniotic membrane application showed potential anti-inflammatory and anti-scarring benefits.

Implications:

  • Self-retained amniotic membrane is a promising therapeutic option for dendritic keratitis.
  • Further research is warranted to explore the potential topical antiviral properties of amniotic membranes.
  • This method may offer a viable alternative for managing recurrent corneal infections, potentially reducing long-term complications.