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Rubeola keratitis

P S Deckard, T J Bergstrom

    Ophthalmology
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Ocular findings in rubeola (measles) include conjunctivitis, photophobia, and epithelial keratitis in all young adults. While benign, these measles-related eye lesions resolve slowly, potentially increasing ophthalmologist involvement in diagnosis.

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    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Public Health

    Background:

    • Rubeola (measles) is a contagious viral illness that can cause ocular manifestations.
    • Understanding these manifestations is crucial for timely diagnosis and management, especially with shifts in population immunity.
    • Young adults represent a population group increasingly susceptible to measles in some regions.

    Purpose of the Study:

    • To evaluate the ocular findings in young adult patients during the acute contagious phase of rubeola.
    • To characterize the clinical presentation and resolution of measles-related ocular lesions in this demographic.

    Main Methods:

    • Prospective evaluation of 27 young adult patients with confirmed rubeola.
    • Clinical assessment during the acute phase, including presence of Koplik's spots, conjunctivitis, photophobia, and epithelial keratitis.

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  • Slit-lamp examination to assess ocular lesions and their resolution over time.

    • Main Results:

    • Koplik's spots were universally present.
    • Conjunctivitis (56%) and photophobia (52%) were common.
    • All patients (100%) exhibited bilateral epithelial keratitis.
    • Epithelial lesions demonstrated slow resolution, persisting after symptom resolution.

    Conclusions:

    • Epithelial keratitis in young adults with rubeola is typically benign and self-limiting, requiring no specific medical therapy.
    • Ocular lesions associated with measles can have a prolonged resolution period.
    • Ophthalmologists may play an increasing role in diagnosing rubeola and its ocular complications due to evolving population immunity patterns.