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KMID : 0360220210620040487
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 4 p.487 ~ p.495
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Dendritic Keratitis Associated with Contact Lens Wear: a Case Series and Literature Review
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Oh Joo-Sang
Cho Yang-Kyung
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Abstract
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Purpose: We report seven cases of first occurrence of dendritic keratitis associated with contact lens wear without previous keratitishistory, based on a literature review. Those cases were finally diagnosed and treated as herpes virus keratitis.
Methods: Among patients who visited the ophthalmology outpatient clinic over two years, patients with dendritic corneal lesionsassociated with contact lens wear were included. Authors performed the diagnosis, treatment and the clinical follow up.
Results: Seven Patients with dendritic corneal lesions after wearing contact lens were diagnosed by history taking, clinical findingsand molecular biological methods and were observed over the course of treatment.
Conclusions: For patients with dendritic keratitis after wearing contact lenses, there is a possibility of herpes keratitis rather thanthe common lesions associated with non-infectious corneal infiltration or keratitis caused by bacteria and fungus. It is necessaryto observe those eyes thoroughly in respect to the exact past history taking, diagnosis by molecular-biological method as well asclinical features and the response to empirical antiviral agents.
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KEYWORD
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Contact lens, Dendritic lesion, Herpes keratitis
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