PURPOSE: To report a case of chronic recurrent varicella virus epithelial kera titis in a child. DESIGN: Case report. METHODS: Clinical examination and polymer ase chain reaction analysis of corneal epithelium. RESULT...PURPOSE: To report a case of chronic recurrent varicella virus epithelial kera titis in a child. DESIGN: Case report. METHODS: Clinical examination and polymer ase chain reaction analysis of corneal epithelium. RESULTS: A 10-year-old heal thy child developed chronic recurrent varicella virus keratitis with pseudodendr ites after recovering from systemic varicella. Analysis of the debrided pseudode ndrites was repeatedly positive for VZV DNA and negative for HSV DNA. Treatment with oral acyclovir and topical corticosteroid drops was effective in eliminatin g the pseudodendrites; however, recurrences occurred once the medications were d iscontinued. CONCLUSIONS: Varicella virus epithelial keratitis in children can b e a recurrent chronic condition requiring prolonged treatment.展开更多
文摘PURPOSE: To report a case of chronic recurrent varicella virus epithelial kera titis in a child. DESIGN: Case report. METHODS: Clinical examination and polymer ase chain reaction analysis of corneal epithelium. RESULTS: A 10-year-old heal thy child developed chronic recurrent varicella virus keratitis with pseudodendr ites after recovering from systemic varicella. Analysis of the debrided pseudode ndrites was repeatedly positive for VZV DNA and negative for HSV DNA. Treatment with oral acyclovir and topical corticosteroid drops was effective in eliminatin g the pseudodendrites; however, recurrences occurred once the medications were d iscontinued. CONCLUSIONS: Varicella virus epithelial keratitis in children can b e a recurrent chronic condition requiring prolonged treatment.
