[Ocular manifestations of measles in adults: About three cases]

Area of Science:

• Ophthalmology
• Virology
• Infectious Diseases

Background:

• Measles, a viral infection caused by morbillivirus, typically affects children but can present with ocular complications.
• Ophthalmologic manifestations, though uncommon, are primarily conjunctivitis and keratitis, with corneal involvement posing the most significant risk.
• Corneal involvement can range from superficial punctate keratitis to severe outcomes like perforation.

Observation:

• Three cases of acute keratitis in young adults during a measles epidemic were observed.
• Epithelial corneal involvement presented in various patterns: peripheral, central, or diffuse.
• All patients were treated with symptomatic topical therapy.

Findings:

• Measles-associated acute keratitis can affect young adults.
• The observed keratitis showed diverse patterns of epithelial involvement.
• Symptomatic topical treatment resulted in a favorable outcome for all reported cases.

Implications:

• Highlights the potential for measles to cause significant ocular morbidity in adults.
• Emphasizes the importance of recognizing and managing measles-related keratitis promptly.
• Suggests that symptomatic topical treatment can be effective in resolving measles-induced keratitis.