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Abstract #6775 Published in IGR 4-1

A case of ocular hypertension secondary to epidemic keratoconjunctivitis

Sonomura Y; Matsumoto A; Mori K; Kinoshita S
Japanese Journal of Clinical Ophthalmology 2002; 56: 79-82


A 49-year-old male sought medical advice for headache and ocular pain. Both eyes showed signs of acute conjunctivitis with elevated intraocular pressure (IOP) of 74 mmHg each. When seen by the authors two days later, he showed typical features of epidemic keratoconjunctivitis with IOP of 49 mmHg right and 58 mmHg left. Both eyes had deep anterior chamber with wide-open angle. Adenovirus was detected in the tear fluid. After a temporary decrease in IOP following medication, the IOP rose again to about 70 mmHg in both eyes from six days after visiting us. The IOP decreased spontaneously below 20 mmHg after the conjunctivitis subsided about two weeks after his initial visit. He had no history of ocular hypertension. Corticosteroid glaucoma was also ruled out. This case illustrates that acute ocular hypertension is a liability in epidemic keratoconjunctivitis, presumably secondary to concomitant scleritis.

Dr. Y. Sonomura, Department of Ophthalmology, Osaka Saiseikai Nakatsu Hospital, 2-10-39 Shibata Kika-ku, Osaka 530-0012, Japan


Classification:

9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)



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