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Santosh University Journal of Health Sciences


Bilateral disciform keratitis: A rare entity


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Article Type : Case Report

Author Details: Sarita Aggarwal*,Shikha Pawaiya,Santosh Kenguva,Arushi Bhardwaj,Harshita Saxena

Volume : 5

Issue : 1

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 48

Article End Page : 49


Abstract

Introduction: Herpetic disciform keratitis is a primary endotheliitis resulting in both stromal and epithelial edema in a round (disciform) distribution with keratic precipitates underlying the area of edema.
Objective: To report an unusual case of bilateral disciform keratitis following viral conjunctivitis.
Case Description: A 21 year old male who developed viral conjunctivitis followed by bilateral disciform kerartitis in the span of 3 weeks with widespread sub-epithelial corneal infiltrates in addition to central corneal edema with white distinct border resembling Wessely ring, as well as Descemet's folds and keratic precipitates in the central area. Patient was treated with oral antiviral, topical antiviral, and topical steroid where the patient showed significant improvement.
Conclusion: bilateral disciform keratitis is a late complication of viral conjunctivitis and it can be treated medically with antiviral and steroid.

Keywords: Bilateral disciform keratitis, Wessely ring, Descemet’s fold, Keratic precipitates.

Doi :-https://doi.org/10.18231/j.sujhs.2019.012