Presentation
Unilateral or bilateral subepithelial lesions of the cornea may be present. Slit lamp examination reveals multiple tiny granular deposits surrounded by a halo of stromal haze. After healing, residual 'nummular scars' often remain. [en.wikipedia.org]
However, adenovirus EKC still remains the most important cause of SEI, and it is important when such patients present in the acute stage to try and avoid steroid therapy unless imperative to reduce the occurrence of SEIs. [tnoajosr.com]
Eyes
- Corneal Deposit
deposits in Dimmer's keratitis nummularis, keratitis herpetic, zoster keratitis and epidemic keratoconjunctivitis. [eurekamag.com]
Clinical punctures of keratitis nummularis; occurrence of nummular corneal deposits in Dimmer's keratitis nummularis, keratitis herpetic, zoster keratitis and epidemic keratoconjunctivitis. Albrecht Von Graefes Arch Ophthalmol 1953;154:207-23. 25. [tnoajosr.com]
Treatment
Since the 1990s this medication has proven effective for the treatment of keratitis nummularis. [pubmed.ncbi.nlm.nih.gov]
Once SEIs are established, excimer surface ablation has been reported in the removal of these lesions, although the results are variable, with some articles reporting increased scarring after treatment.[17],[18] Once scars are formed, however, the treatment [tnoajosr.com]
Archives d'Ophtalmologie et Revue Generale d'Ophtalmologie 35(6-7): 537-559, 1975 The use of placental extract in the treatment of herpetic keratitis and superficial punctate keratitis. [eurekamag.com]
Disciform keratitis occurs in 50% of individuals with Nummular keratitis, but Nummular keratitis always precedes Disciform keratitis.[2][3] Treatment[edit] Topical NSAIDS Lubricating eye drops Topical dilute steroid drops in tapering doses (debatable, [en.wikipedia.org]
Treatment is surgical using excision or curettage. Links[edit | edit source] Related articles[edit | edit source] Conjunctivitis Bacterial conjunctivitis Herpes virus Bibliography[edit | edit source] ROZSÍVAL, Pavel. Oční lékařství. 1. edition. [wikilectures.eu]
Epidemiology
Superficial Punctate Keratitis: A Record of an Epidemic of Superficial Punctate Keratitis which Appeared in Madras about May, 1928, and Continued during the year that Followed, Embodying Observations Relating to the Clinical Appearances, Biomicroscopy, Epidemiology [eurekamag.com]
Prevention
Epidemic keratoconjunctivitis: the current situation and recommendations for prevention and treatment. Meyer-Rüsenberg B, Loderstädt U, Richard G, Kaulfers PM, Gesser C. Meyer-Rüsenberg B, et al. [pubmed.ncbi.nlm.nih.gov]
[…] these lesions, do they occur only in the more severe infections, is routine steroid use at the start of the infection deleterious to the cornea, is scarring inevitable in the natural history of SEI, and what is the best approach to managing and also preventing [tnoajosr.com]