Case for conservative management of adenoviral pseudomembranous conjunctivitis

Kenneth McNair Gilmour1, Kanna Ramaesh2

  • 1Ophthalmology, Tennent Institute of Ophthalmology, Glasgow, UK kenneth.gilmour2@nhs.scot.

BMJ Case Reports
|February 22, 2023
PubMed

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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