Progression of corneal sub-epithelial infiltrates in a case of undertreated epidemic keratoconjunctivitis

Abstract

A 27-year-old lady presented with watering, redness, blurring of vision and foreign body sensation in right eye since 3 days. On slit lamp examination, there was conjunctival follicular reaction and two pin head sized subepithelial infiltrates (SEI) suggestive of epidemic keratoconjunctivitis. Patient was started with ganciclovir 0.15% ointment along with fluorometholone-tobramycin drops with which patient relieved off her symptoms in 1 week and then discontinued herself but recurred with the same symptoms in 1 month. Initial two SEIs were progressed to six which all were disappeared after restarting fluorometholone-tobramycin drops. Presences of SEIs require prompt management with topical steroid and adequate treatment is needed till it resolved completely thereby permanent scarring of the cornea can be avoided.