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A "shining" example of interstitial keratitis.

Michael A Ullman¹, Christine E Martinez², Todd P Margolis³

¹Ullman Eye Consultants, 5528, N. Davis Highway, Pensacola, FL, USA.

American Journal of Ophthalmology Case Reports

|January 13, 2021

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This case report details a rare presentation of herpetic keratitis in a 67-year-old woman. Prompt treatment led to corneal healing, leaving unique stromal lines, highlighting an unusual clinical appearance.

Area of Science:

Ophthalmology
Virology

Background:

Interstitial keratitis can present with varied clinical signs.
Herpetic keratitis is a common cause of corneal inflammation.

Observation:

A 67-year-old woman initially presented with symptoms suggestive of viral conjunctivitis and ocular hypertension.
She later developed a distinct corneal lesion, diagnosed as presumed herpetic keratitis.

Findings:

Treatment with oral valacyclovir and topical prednisolone acetate resulted in significant corneal improvement.
The healed cornea exhibited characteristic radiating lines within the corneal stroma.

Implications:

This case highlights an unusual clinical manifestation of herpetic stromal keratitis.

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Recognizing atypical presentations is crucial for accurate diagnosis and management of herpetic eye disease.