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[Dimmer's keratitis nummularis, a doubtful disease].

O P van Bijsterveld, R Obster

    Klinische Monatsblatter Fur Augenheilkunde
    |September 1, 1983
    PubMed
    Summary

    Nummular keratitis (Dimmer) is not a distinct corneal disease but a group of conditions. Current diagnostic criteria fail to differentiate it from herpetic or adenovirus keratitis, questioning its clinical relevance.

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    Area of Science:

    • Ophthalmology
    • Corneal Diseases

    Context:

    • Dimmer's original description of nummular keratitis (Dimmer) suggested a specific corneal disease.
    • Subsequent research indicates heterogeneity within this condition.

    Purpose:

    • To evaluate the diagnostic validity and nosological entity of nummular keratitis (Dimmer).
    • To differentiate nummular keratitis from other corneal conditions like herpetic and adenovirus keratitis.

    Summary:

    • Nummular keratitis (Dimmer) is not a singular disease but a heterogeneous group of corneal conditions.
    • Previous studies have failed to convincingly differentiate it from herpetic keratitis due to a lack of corneal sensitivity testing.
    • Even with corneal sensitivity testing, differentiation from adenovirus keratitis sequelae remains inadequate.

    Impact:

    • Nummular keratitis (Dimmer) lacks a defined diagnostic role in ophthalmology.
    • The findings challenge the classification of nummular keratitis as a distinct nosological entity.
    • Highlights the need for refined diagnostic criteria for complex corneal conditions.

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