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Measles and Eye Complications

A M O’ Mahony1, T J McSwiney2, E Cosgrave2

  • 1Department of Medicine, University Hospital Waterford, Waterford

Irish Medical Journal
|October 26, 2019
PubMed

Insights

Measles, a growing public health concern, can cause serious complications like ocular keratitis. Early diagnosis and supportive care are crucial for managing this potentially devastating viral illness.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Public Health

Background:

  • Measles cases have significantly increased, highlighting its resurgence as a public health issue.
  • Healthcare professionals must remain vigilant for measles, even in regions with high vaccination rates.

Observation:

  • A 37-year-old male presented with symptoms including headache, myalgia, rash, and decreased visual acuity.
  • Ocular complications, specifically keratitis, were observed, impacting visual function.

Findings:

  • Measles was confirmed via throat swab on day 5 of illness.
  • Ocular keratitis was diagnosed using slit lamp examination with fluorescein staining.

Implications:

  • This case underscores the importance of considering measles in differential diagnoses, especially with atypical presentations.
  • Prompt diagnosis and management, including supportive and topical ocular treatments, are vital for preventing severe outcomes.
  • The resurgence of measles emphasizes the need for continued public health awareness and vaccination efforts.

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