Abstract

CARRILLO-ARROYO, I. et al. Herpetic endotheliitis and trabeculitis with delayed corneal involvement. Arch Soc Esp Oftalmol [online]. 2012, vol.87, n.2, pp.47-49. ISSN 0365-6691.

Case report: A 62-year-old man with previous renal transplant and immunosuppressive treatment presented with decreased visual acuity (20/100) in his left eye, corneal oedema and intraocular pressure of 46mmHg. One month later an inferior marginal dendritic keratitis appeared. Corneal scraping and real-time polymerase chain reaction showed herpes simplex virus (HSV). Discussion: The autoimmune corneal endotheliopathy or acute idiopathic corneal endotheliitis is characterised by corneal stromal oedema and keratic precipitates. HSV might be secreted from the trabeculum, innervated by the trigeminal nerve. This hypothesis is supported by the clinical observation that the corneal stromal oedema usually starts from the periphery.

Keywords : Endothelitis; Trabeculitis; Herpes simplex virus; Cornea; Glaucoma.

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