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Case Report
How acute viral keratoconjunctivitis change the ocular tear film
1 Ophthalmologist, Department of Ophthalmology, Bali Mandara Eye Hospital, Denpasar, Bali, Indonesia
2 Intern Medical Doctor, Department of Ophthalmology, Bali Mandara Eye Hospital, Denpasar, Bali, Indonesia
Address correspondence to:
Ni Made Indah Kencanawati
Denpasar, Bali 80233,
Indonesia
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Article ID: 100020Z17NK2021
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How to cite this article
Kencanawati NMI, Santoso SA. How acute viral keratoconjunctivitis change the ocular tear film. J Case Rep Images Opthalmol 2021;4:100020Z17NK2021.ABSTRACT
Introduction: Viral keratoconjunctivitis (VK) is one of the most common causes of red eye that affects many people and imposes economic and social burdens. It has a highly contagious nature which means that it can be spread easily from person to person. Acute VK can cause instability of tear film.
Case Report: A 32-year-old woman complained of bilateral eye redness for one week with a teary eye, sensitivity to light, and watery discharge but without blurred vision. Anterior segment examination revealed conjunctival hyperemia, edema, pseudomembrane, conjunctival vascular injection (CVI), and peripheral corneal vascular injection (PCVI) on both eyes with filament on the left eye. She had abnormal ST 1 (Schirmer’s Test 1), TBUT (Tear Break Up Time), with grade A-B Oxford Ocular Staining Score and high to low Ocular Surface Disease Index (OSDI) score up to 28 days follow-up, with positive immunoglobulin G Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) rapid test.
Conclusion: This patient had acute viral infection based on symptoms and clinical signs that make ocular tear film instability up to 28 days based on diagnostic tests.
Keywords: Dry eye, Tear film, Viral keratoconjunctivitis
SUPPORTING INFORMATION
Author Contributions
Ni Made Indah Kencanawati - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Stephanie Aurelia Santoso - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Ni Made Indah Kencanawati et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
