Annals of Optometry and Contact Lens 2017;16(4):159-163.
Published online December 25, 2017.
A Case Report of Herpetic Conjunctivitis in One Patient Using Latanoprost
Sung Won Yang, Youngsub Eom, Su-Yeon Kang, Jong Suk Song, Hyo Myung Kim
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Received: 19 September 2017   • Revised: 8 November 2017   • Accepted: 20 November 2017
Purpose: To report a case of herpetic conjunctivitis in a glaucoma patient using latanoprost for IOP control.
Case summary: A 65-year-old female patient using latanoprost for six months reported ocular pain on her right eye. Under slit-lamp examination, there were only some punctate epithelial erosions and mild peri-limbal conjunctival injection at 7 o’clock direction. The patient used levofloxacin (Cravit®, Santen, Osaka, Japan) antibiotic eyedrops and dexamethasone (Forus ointment®, Samil, Seoul, Korea) every 6 hours in a day for each. However, the patient reported the aggravation of the symptom and the conjunctival injection became more prominent than 4 days before. With fluorescein stain and yellow filter, a geographic pattern of ulcer lesion was noticed in the 7 o’clock peri-limbal bulbar conjunctiva. She was diagnosed with herpetic conjunctivitis. She was educated to stop latanoprost and received antiviral therapy. After two weeks, the patient showed good response to the treatment and there was no recurrence.
Conclusions: Atypical herpetic conjunctivitis which present with geographic ulcerative lesion might happen in the glaucoma patients using topical latanoprost. Because of that, one should not omit to check conjunctiva in those patients and the fluorescein stain with yellow filter can help to increase sensitivity on the conjunctival lesion in the slit-lamp examination.
Key Words: Herpes conjunctivitis; Herpes keratitis; HSV; Latanoprost; Prostaglandin
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