Bilateral disciform keratitis: A rare entity

Authors : Sarita Aggarwal, Shikha Pawaiya, Santosh Kenguva, Arushi Bhardwaj, Harshita Saxena

DOI : 10.18231/j.sujhs.2019.012

Volume : 5

Issue : 1

Year : 2019

Page No : 48-49

Introduction: Herpetic disciform keratitis is a primary endotheliitis resulting in both stromal and epithelial edema in a round (disciform) distribution with keratic precipitates underlying the area of edema.
Objective: To report an unusual case of bilateral disciform keratitis following viral conjunctivitis.
Case Description: A 21 year old male who developed viral conjunctivitis followed by bilateral disciform kerartitis in the span of 3 weeks with widespread sub-epithelial corneal infiltrates in addition to central corneal edema with white distinct border resembling Wessely ring, as well as Descemet's folds and keratic precipitates in the central area. Patient was treated with oral antiviral, topical antiviral, and topical steroid where the patient showed significant improvement.
Conclusion: bilateral disciform keratitis is a late complication of viral conjunctivitis and it can be treated medically with antiviral and steroid.

Keywords: Bilateral disciform keratitis, Wessely ring, Descemet’s fold, Keratic precipitates.


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