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Case Reports: Unusual presentation of more common disease/injury
Case for conservative management of adenoviral pseudomembranous conjunctivitis
  1. Kenneth McNair Gilmour and
  2. Kanna Ramaesh
  1. Ophthalmology, Tennent Institute of Ophthalmology, Glasgow, UK
  1. Correspondence to Dr Kenneth McNair Gilmour; kenneth.gilmour2{at}nhs.scot

Abstract

The clinical course of adenoviral pseudomembranous conjunctivitis is mostly self-limiting and requires only supportive management measures; however, a minority of patients may develop severe inflammation in response to the virus, which can present as subepithelial infiltrates and pseudomembranes. In its most severe form, symblepharon can result from the inflammatory response resulting in longer-term clinical sequelae. The optimal management of adenoviral pseudomembranous conjunctivitis is poorly defined and while debridement is commonly recommended, there is limited evidence base to support this practice. In this paper, we present two cases of PCR-proven adenoviral pseudomembranous conjunctivitis managed conservatively with topical lubricants and corticosteroids rather than debridement to good effect.

  • Anterior chamber
  • Visual pathway

https://doi.org/10.1136/bcr-2022-253014

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    Footnotes

    • Contributors Both KMG and KR claim authorship of the paper and they agree that they undertook the following: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version published; agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.