A classical case of Thygeson's superficial punctate keratitis

Gock, Germaine; Ong, Keith; McClellan, Kathleen A.

doi:10.1111/j.1442-9071.1995.tb01652.x

Cited by 6 publications

(1 citation statement)

References 4 publications

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“…Only one report mentioned the symptoms of dryness (2.3%) and diplopia (1.2%) [4]. The data in Table 2 show that most cornea lesions were present bilaterally (62.7%) at the beginning of the disease [10]. In a few cases, unilateral lesions appearing soon after onset might develop bilateral involvement.…”

Section: Presentationmentioning

confidence: 98%

Thygeson’s superficial punctate keratitis (TSPK): a paediatric case report and review of the literature

Tang

Liu

et al. 2021

BMC Ophthalmol

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Background Thygeson’s superficial punctate keratitis (TSPK) is reportedly a rare disease with an insidious onset, numerous remissions and exacerbations, and a long duration. The corneal lesions are elevated, whitish–grey in colour, and granular in the intraepithelium. A few reported cases of TSPK exist, and paediatric experience is limited. Due to the unknown aetiology and controversial treatment strategies for TSPK, we performed a literature review to summarize the criteria for the diagnosis, treatment and prognosis of TSPK to provide a basis for the treatment of TSPK in paediatric patients. Case presentation The clinical course of a boy with TSPK who repeatedly presented with episodes of tearing, photophobia and foreign body sensation in both eyes is described. Irritation was uncontrollable with antiviral and antibiotic medications, and it was managed by corticosteroids. No recurrence was reported at the 1-year follow-up after corticosteroid replacement and tapering. Conclusions The clinical features, treatment and prognosis between adult and paediatric TSPK patients have many similarities. The diagnosis of TSPK in children is more difficult, leading to missed diagnosis. TSPK needs to be carefully differentiated from other types of keratitis, especially intraepithelial secondary and other infectious ocular surface diseases.

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Section: Presentationmentioning

confidence: 98%