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Case Reports
. 2014 Sep 16:2014:bcr2014206056.
doi: 10.1136/bcr-2014-206056.

Anterior capsular defect with acute anterior subcapsular cataract in herpetic keratouveitis

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Case Reports

Anterior capsular defect with acute anterior subcapsular cataract in herpetic keratouveitis

Tarun Arora et al. BMJ Case Rep. .

Abstract

A 20-year-old man presented with a recurrent episode of herpetic keratouveitis in his right eye. The patient was treated with oral acyclovir and topical steroids. One week later the patient reported a sudden diminution of vision. Slitlamp biomicroscopy revealed the presence of a central anterior capsular defect and anterior subcapsular cataract. Dosage of steroids was temporarily increased and progression of cataract monitored. Subsequently, the anterior chamber reaction decreased and steroids were tapered.

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Figures

Figure 1
Figure 1
Slitlamp photograph showing keratouveitis along with central anterior capsular defect and anterior subcapsular cataract.
Figure 2
Figure 2
Anterior segment optical coherence tomography depicting anterior capsular defect and anterior subcapsular cataract.

References

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    1. Sundmacher R, Neumann-Haefelin D: Herpes simplex virus-positive and -negative keratouveitis. In: Silverstein AM, O'Connor R, eds. Immunology and immunopathology of the eye. New York: Masson, 1979:225
    1. Bartz-Schmidt KU, Hartmann C, Kirchhof B, et al. [Pathogenesis of complicated cataract in herpetic kerato-uveitis]. Klin Monbl Augenheilkd 1996;209:228–31 - PubMed

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