Appearance of herpes simplex keratitis on anterior segment optical coherence tomography
Autor: | Khaled Abdelazeem, Ashraf K. Al-Hussaini, Wael Soliman, Mohamed A. Nassr |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty genetic structures Corneal Stroma Keratitis Young Adult Optical coherence tomography Anterior Eye Segment Ophthalmology medicine Humans Prospective Studies medicine.diagnostic_test business.industry Epithelium Corneal Middle Aged medicine.disease eye diseases Ophthalmologic examination Keratitis Herpetic Female Collagen sense organs business Tomography Optical Coherence Uveitis |
Zdroj: | International Ophthalmology. 39:2923-2928 |
ISSN: | 1573-2630 0165-5701 |
DOI: | 10.1007/s10792-019-01142-4 |
Popis: | To describe the anterior segment AS-OCT findings of herpetic simplex keratitis. Forty-two eyes of 42 patients with proven herpetic keratitis of varying severity were included in this prospective, observational, non-comparative case series study. All subjects underwent ophthalmologic examination and AS-OCT imaging. Twenty-five of the 42 eyes (59.5%) had sub-epithelial infiltrates. In 11 of these cases, the overlying epithelium appeared intact, but in 14 cases, hydropic changes, heaping, and defects were observed. Seventeen eyes (40.5%) showed stromal involvement: six cases with scar at presentation and one case associated with uveitis. Stromal infiltrates were also seen, in ten cases, as a diffuse or local lentiform or spindle-shaped hyper-reflective area in the stroma. Herpetic keratouveitis has characteristic features on AS-OCT images. This study demonstrates that herpetic keratitis also has characteristic AS-OCT features, including sub-epithelial infiltration and specific stromal hyper-reflective patterns. These features are not unique to herpetic keratitis, but AS-OCT imaging may provide useful supplementary information for diagnosing and monitoring herpetic keratitis. |
Databáze: | OpenAIRE |
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