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Subconjunctival Administration of Adeno-associated Virus Vectors in Small Animal Models
Published on: March 16, 2022
Case for conservative management of adenoviral pseudomembranous conjunctivitis
Kenneth McNair Gilmour1, Kanna Ramaesh2
1Ophthalmology, Tennent Institute of Ophthalmology, Glasgow, UK kenneth.gilmour2@nhs.scot.
Abstract:
The clinical course of adenoviral pseudomembranous conjunctivitis is mostly self-limiting and requires only supportive management measures; however, a minority of patients may develop severe inflammation in response to the virus, which can present as subepithelial infiltrates and pseudomembranes. In its most severe form, symblepharon can result from the inflammatory response resulting in longer-term clinical sequelae. The optimal management of adenoviral pseudomembranous conjunctivitis is poorly defined and while debridement is commonly recommended, there is limited evidence base to support this practice. In this paper, we present two cases of PCR-proven adenoviral pseudomembranous conjunctivitis managed conservatively with topical lubricants and corticosteroids rather than debridement to good effect.
Insights
Severe adenoviral pseudomembranous conjunctivitis can cause lasting eye damage. Conservative management with lubricants and corticosteroids, avoiding debridement, proved effective in two cases.
Area of Science:
- Ophthalmology
- Virology
Background:
- Adenoviral pseudomembranous conjunctivitis is typically self-limiting but can cause severe inflammation.
- Severe cases may lead to subepithelial infiltrates, pseudomembranes, and symblepharon.
- Optimal management strategies, including debridement, lack robust evidence.
Observation:
- Two cases of PCR-proven adenoviral pseudomembranous conjunctivitis were analyzed.
- Patients presented with severe inflammatory responses.
- Conservative management was chosen over debridement.
Findings:
- Conservative treatment with topical lubricants and corticosteroids was effective.
- This approach avoided surgical intervention.
- Positive clinical outcomes were achieved without debridement.
Implications:
- Conservative management may be a viable alternative to debridement for severe cases.
- This approach could prevent long-term sequelae associated with aggressive interventions.
- Further research is warranted to establish evidence-based guidelines for managing this condition.
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