Abstract
Abstract: :
Purpose: To report a patient who developed linear endotheliitis of the cornea associated with an acute Epstein-Barr Viral Infection Methods: A retrospective review of the patient's clinical course, medical history, and laboratory results were done. An extensive literature review on the subject was also completed. Results: We describe a 28 year old female who developed a line keratic precipitates on the corneal endothelium at the leading edge of an area of stromal and epithelial edema. Clinical examination and serological testing revealed evidence of an acute Epstein-Barr viral infection. The patient was treated with topical steroids with resolution of the inflammtion and corneal edema. A literature review demonstrated the presence of the clinical entity linear endotheliitis assocated with syphilis, herpetic infection, post catatact surgery, and an autoimmune phenomenon against endothelial cells. We know of no other reported cases of this clinical entity associated with an acute Epstein-Barr viral infection. Conclusion: We believe the presence of the clinical entity linear endotheliits can be present in acute Epstein-Barr viral infection. It is an important clinical association that should be reported.
Keywords: 371 cornea: endothelium • 449 keratitis • 369 cornea: clinical science