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ISSN 1561-3070 (Electronic)

2013, Number 3

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Rev Cub Oftal 2013; 26 (3)

Ophthalmological manifestations caused by Epstein-Barr virus

Suñet ÁAM, González DR, Rodríguez RB, Vilches LD, Rodríguez MY, Rúa MR

Language: Spanish
References: 43
Page: 516-527
PDF size: 865.73 Kb.


ABSTRACT

This article presented a 26 years-old male patient who went to the ocular service with sudden reduction of vision in his right eye. He was admitted to the hospital and diagnosed as posterior uveitis based on extensive exudation in the macular area of the right eye, edema of the optic disk, vasculitis next to the lesion and disperse hemorrhages in the posterior pole. The etiology of this case was controversial and the most suitable treatment was under discussion, so it was decided to perform serial retinographies, fluorescein angiographies and polymerase chain reaction in a aqueous humor sample taken from the patient. The viral etiology was confirmed, resulting in final visual acuity of 0.1. After 6 months of the initial clinical picture, the patient suffered nummular-shaped intrastromal keratitis - it appears in stress episodes- and finally disappears after topical therapy with non-steroidal and steroidal antiinflammatory drugs. The low incidence of cases reported with posterior uveitis caused by Epstein Barr virus is due to the poor knowledge about the onset of this disease, and leads to delay in applying treatment. The golden rule in this case is the polymerase chain reaction.


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