Presumed herpetic endotheliitis following phacoemulsification surgery*

Abstract

The authors present an observational case series. Three cases of presumed herpetic endotheliitis presented as cases of pseudophakic bullous keratopathy many years after successful phacoemulsification surgery. All patients had reduction of vision in the involved eye, corneal oedema and secondary glaucoma. The patients were treated with medical therapy consisting of topical corticosteroids, antiviral and antiglaucoma drugs. Resolution of corneal oedema, control of glaucoma and restoration of visual acuity were achieved in all cases. Specular microscopy performed thereafter demonstrated relatively normal endothelial cell counts. The authors conclude that pseudophakic bullous keratopathy occurring after phacoemulsification surgery may be caused by herpetic endotheliitis.

Corneal edema and keratitis following selective laser trabeculoplasty

“… 11 These have occurred presumptively sporadically as well as associated with intraocular surgery. 6 , 12 The first cases of corneal edema following SLT were reported in two patients in 2009. 5 Case 1 was a 60 year-old female who presented with a decrease in visual acuity, focal epithelial haze and stromal edema one week following SLT.…”

Corneal edema and keratitis following selective laser trabeculoplasty

“… 11 These have occurred presumptively sporadically as well as associated with intraocular surgery. 6 , 12 The first cases of corneal edema following SLT were reported in two patients in 2009. 5 Case 1 was a 60 year-old female who presented with a decrease in visual acuity, focal epithelial haze and stromal edema one week following SLT.…”

Severe unilateral corneal melting after uneventful phacoemulsification cataract surgery

“……”

Cytomegalovirus Infection of the Anterior Segment: Corneal Endotheliitis and Secondary Glaucoma

“…Pre-existing ocular diseases and prior intraocular surgery appear to predispose eyes to CMV corneal endotheliitis and secondary glaucoma [ 125 , 126 ]. In a case series of CMV corneal endotheliitis complicated by glaucoma (n = 34), 94.1% of eyes had a pre-existing diagnosis of glaucoma and had been treated for a mean of 10.0 ± 10.1 years before CMV endotheliitis was definitively diagnosed.…”

Corneal edema and keratitis following selective laser trabeculoplasty

“… 11 These have occurred presumptively sporadically as well as associated with intraocular surgery. 6 , 12 The first cases of corneal edema following SLT were reported in two patients in 2009. 5 Case 1 was a 60 year-old female who presented with a decrease in visual acuity, focal epithelial haze and stromal edema one week following SLT.…”

Severe unilateral corneal melting after uneventful phacoemulsification cataract surgery

“……”

Cytomegalovirus Infection of the Anterior Segment: Corneal Endotheliitis and Secondary Glaucoma

“…Pre-existing ocular diseases and prior intraocular surgery appear to predispose eyes to CMV corneal endotheliitis and secondary glaucoma [ 125 , 126 ]. In a case series of CMV corneal endotheliitis complicated by glaucoma (n = 34), 94.1% of eyes had a pre-existing diagnosis of glaucoma and had been treated for a mean of 10.0 ± 10.1 years before CMV endotheliitis was definitively diagnosed.…”

Corneal edema and keratitis following selective laser trabeculoplasty

“… 11 These have occurred presumptively sporadically as well as associated with intraocular surgery. 6 , 12 The first cases of corneal edema following SLT were reported in two patients in 2009. 5 Case 1 was a 60 year-old female who presented with a decrease in visual acuity, focal epithelial haze and stromal edema one week following SLT.…”

Severe unilateral corneal melting after uneventful phacoemulsification cataract surgery

“……”

Cytomegalovirus Infection of the Anterior Segment: Corneal Endotheliitis and Secondary Glaucoma

“…Pre-existing ocular diseases and prior intraocular surgery appear to predispose eyes to CMV corneal endotheliitis and secondary glaucoma [ 125 , 126 ]. In a case series of CMV corneal endotheliitis complicated by glaucoma (n = 34), 94.1% of eyes had a pre-existing diagnosis of glaucoma and had been treated for a mean of 10.0 ± 10.1 years before CMV endotheliitis was definitively diagnosed.…”