Guoji Yanke Zazhi (Apr 2024)

Case observation of viral keratitis caused by SARS-CoV-2

  • Xie Mengzhen,
  • Zhang Hao,
  • Ma Ke,
  • Yin Hongbo,
  • Wang Lixiang,
  • Tang Jing

DOI
https://doi.org/10.3980/j.issn.1672-5123.2024.4.01
Journal volume & issue
Vol. 24, no. 4
pp. 495 – 499

Abstract

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AIM: To report three cases of viral keratitis caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).METHODS: Slit lamp, intraocular pressure, corneal fluorescence staining, anterior segment photography, in vivo confocal microscopy(IVCM), and routine fundus screening were performed in the three confirmed patients. Treatment involved Ganciclovir, artificial tears and glucocorticoid eye drops.RESULTS: Three patients with SARS-CoV-2 keratitis(SCK)recovered well after standard treatment.CONCLUSION: SARS-CoV-2 keratitis typically presents as corneal subepithelial infiltration and can result in a decrease in corneal subepithelial nerve fiber density and an increase in dendritic cells(DC). Antiviral therapy in combination with glucocorticoid has proven to be effective.

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