Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2004 Jan;111(1):34-7.
doi: 10.1016/j.ophtha.2003.05.002.

Thygeson's superficial punctate keratitis: ten years' experience

Parveen K Nagra  1 , Christopher J Rapuano, Elisabeth J Cohen, Peter R Laibson
Affiliations

Thygeson's superficial punctate keratitis: ten years' experience

Parveen K Nagra et al. Ophthalmology. 2004 Jan.

Abstract

Purpose: To evaluate the presentation, treatment, and disease course of Thygeson's superficial punctate keratitis.

Design: Observational case series.

Participants: Forty patients, diagnosed and managed with Thygeson's superficial punctate keratitis between January 1, 1992, and December 31, 2001, on the Cornea Service at Wills Eye Hospital.

Methods: Retrospective chart review.

Main outcome measures: Patient demographics, symptoms, visual acuity, ophthalmic examination, management, duration of disease, and length of follow-up.

Results: At the time of presentation, the mean patient age was 28.7 years. The most common presenting symptoms included photophobia, blurred vision, and irritation. Thirty of 38 patients without a history of decreased vision (78.9%) initially were seen with visual acuities in both eyes of 20/30 or better. The 8 (21.1%) remaining patients all had visual acuities between 20/40 and 20/50; improvement in vision with treatment was noted in all 3 observed at our institution. Six patients (16%) had unilateral disease, whereas another 2 patients had bilateral involvement develop after unilateral presentation. Thirty-nine patients (97.5%) were treated with topical steroids at some point in their disease course. The patient not managed with steroids was only seen once and was managed with artificial tears for mild symptoms. In addition to steroids, a patient was treated for recurrent episodes with extended-wear contact lens, and another patient was started on topical cyclosporine because of an inability to be tapered off topical steroids. The average duration of disease in the 15 patients who were observed for more than a single year was 11.1 years.

Conclusions: Thygeson's superficial punctate keratitis is a potentially chronic condition, which might affect people of all ages for years to decades. Corticosteroids are the mainstay of treatment, with extended-wear contact lens and topical cyclosporine reserved as secondary agents.

PubMed Disclaimer

LinkOut - more resources