Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0022568 (keratitis)
 5,133 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The ophthalmologist differs between three forms of manifestation of the herpetic infection: 1. The superficial keratitis with involvement of the epithelium, known as keratitis punctata, stellata or dendritica. 2. The deep for: the keratitis disciformis. This is a delaged hypersensitivity against the herpes virus or its products of metabolism. 3. The metaherpetic keratopathy develops on the basis of a disturbed metabolism after relapsing, mainly deep herpetic keratitis. Therapy differs according to the forms of manifestation. The prevention of relapses is a problem. The frequency of relapses of the corneal herpes is considerably less and the intervals between the relapses are in general considerably longer than in dermatological herpes affections. Therefore, the influence on the recidivity by the drug Lupidon can be appreciated by a long-term study over several years only.
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PMID:[Herpetic eye diseases]. 19 8

A 25-year-old woman with decreased visual acuity and irritation of both eyes was found to have superficial keratitis with keratitis sicca. Her medical record indicated that she had systemic lupus erythematosus. Systemic steroids were necessary to cure the keratitis.
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PMID:Superficial keratitis in treated systemic lupus erythematosus. 46 4

1,048 cases (1,360 eyes) of corneal disease during 1982 to 1987 with complete records were analyzed. It was found that the ratio of incidences between male and female was about 2:1, and the age was predominantly (66.5%) from 21 to 50 years. The leading blinding corneal disease was herpes simplex keratitis, and bacterial and mycotic infections were mostly associated with trauma. The pathogenesis of marginal keratitis was mainly an autoimmune process, and the high incidence (43.9%) of punctate superficial keratitis was surprising. Corneal disease due to vitamin A deficiency still occurred occasionally in children. The findings indicated that most corneal blindness was preventable through hygienic measures and promotion of general health.
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PMID:[An analysis of 1,048 cases of corneal disease]. 206 Mar 99

The efficacy of 3% Ara-A ophthalmic ointment (Vira A) has been evaluated on 100 epithelial herpetic keratitis; the poor intra-ocular penetration of Ara-A explains the exclusion of stromal keratitis and kerato-unveitis. Patients were treated 5 times a day until complete epithelial healing of ulcers, then twice a day during 7 days. Healing was obtained within 10.6 days for 87% of the patients, who have been treated by Ara-A at first (n = 77) or after failure of IDU or of IDC (n = 23). The healing rate was higher for the 52 first ocular episodes (92%) than for the 48 recurrences (81%); it decreases to 77% for recurrences after failure of IDU or IDC. Geographic ulcers heal in 76% of cases only. Their length has no influence on their healing. The longest healing time, 10.6 days, can be explained by the long period of time before beginning to apply Ara-A, 12.8 days: significative correlation between both periods of time is highlighted and shows the advantage of an early treatment. The need for a local corticotherapy (n = 8) does not hinder healing in 15.5 days. Two weeks after discontinuation of the treatment, 3 patients presented a relapse, sensitive to a 2nd Ara-A course; a maintenance treatment, superior to 7 days, is necessary. Tolerance to Vira A ointment is good. Indications of Ara-A during ocular herpes are superficial keratitis, especially those resistant to IDU or, from experimental data, to ACV, and their prevention by a possible long term treatment.
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PMID:[Treatment of superficial herpes simplex keratitis with vidarabine (Vira A): multicenter study of 100 cases]. 222 99

In corneal scraping smears from 13 patients with clinically suspected herpes simplex keratitis (HSK), HSK is demonstrated by means of peroxidase-antiperoxidase (PAP) technique with antisera to herpes simplex virus (HSV) in Papanicolaou-destained cellular samples. The staining for HSV antigen was present in seven cases of corneal scraping smears with superficial keratitis (dendritic and geographic ulcers) while six cases of stromal keratitis (deep keratitis) failed to show HSV antigen except in one case. Specific antigen for HSV was predominantly present in the cytoplasm rather than in the nucleus. Immunoreactions were negative with HSV antisera in patients with other infections and in those in a normal control group. Using the PAP technique, detection of HSV antigen in corneal scraping smears was of great value in the diagnosis of HSK, especially in cases of superficial keratitis.
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PMID:Application of immunoperoxidase staining in the cytodiagnosis of herpes simplex keratitis. 242 87

There is now a great deal of evidence in favor of cell-mediated immunopathogenesis in herpes simplex (HS) keratitis. We used monoclonal antibodies specific for different cell subsets to analyze the blood and cornea-eluded lymphocyte subpopulations in HSV keratitis. There was a significant decrease in the proportion of cells expressing UCHT 1, OKT 4, and MID 4 antigens in the peripheral blood of patients as a whole, as opposed to sex- and age-matched controls. There was a slight decrease in OKT 4 cells in patients with herpetic keratouveitis when compared with patients with herpetic superficial keratitis, and a slight decrease in recurrent herpetic patients. Three corneal buttons showed a marked infiltration by suppressor/cytotoxic T cells, supporting the recent suggestion that lymphocytes might be cytotoxic for keratocytes.
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PMID:Monoclonal antibody analysis of blood and cornea T lymphocyte subpopulations in herpes simplex keratitis. 348 66

Thirty patients with herpetic keratitis were allocated to a double-blind trial with either local treatment plus placebo (control group) or local treatment plus thymostimulin (TS group). The follow-up at 24 months demonstrated a significant reduction of recurrence rate among patients receiving thymostimulin, along with a significant increase of sheep rosette-forming cells (E rosette). Furthermore, among patients with superficial keratitis, thymostimulin treatment resulted in a significantly quicker corneal re-epithelization than placebo. Thymostimulin seems to be a safe and helpful drug in the management of herpetic keratitis.
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PMID:Thymic factor therapy for herpetic keratitis. 389 86

A possible cause and the difference in clinical severity of serratial keratitis were investigated. Two strains of Serratia marcescens were isolated: one from a patient with severe liquefactive keratitis, who had diabetes mellitus, and one from a patient with mild superficial keratitis, but who had no underlying disease. When the same numbers of bacteria were injected separately into corneas of the same rabbits or guinea pigs, the strain from the first patient elicited severe corneal destruction, remarkable intracorneal edema; and liquefactive necrosis, but the strain from the second caused mild keratitis with erosion or intracorneal abscess. The keratitis induced by the former strain required a longer time to heal, and the prognosis was poorer than that for the other keratitis. Therefore, the difference in severity between the two cases of experimentally induced keratitis paralleled that of the clinical cases. Thus, the severity of the serratial keratitis might be attributed more to the virulence of the bacteria than the condition of the host. The virulence factor seemed to be a heat-labile metabolic product (or products) of the bacteria. To clarify this virulence factor, the major secretory protease (56K protease) produced by these two strains of bacteria was compared by using in vitro and in vivo systems. The virulent strain produced about ten times more protease during culture than the less virulent strain. When injected into the corneas of experimental animals, the 56K protease from the virulent strain induced severe lesions similar to those caused by the living virulent strain of bacteria. These results indicated that one of the major factors causing the virulence was correlated with the tissue destructive 56K protease produced by S. marcescens.
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PMID:The serratial 56K protease as a major pathogenic factor in serratial keratitis. Clinical and experimental study. 390 92

80 strains were isolated from patients with herpetic ocular infection during the period May 1979 to May 1981: 17 patients with herpetic blepharitis, 40 patients with superficial keratitis and 23 with deep stromal keratitis or kerato-uveitis. Among 63 patients treated with antiviral agents, clinical resistance to the drug was observed in 17 cases. The strains were typed as HSV 1.1, 1.2 or 2.2 by seroneutralization and thermosensitivity in cellular cultures. No relationship between the viral types and the patient age, previous history of corticosteroid therapy and the response of ocular lesions to antiviral treatment were detected. It appeared that there was a relationship between the viral type and the clinical type of infection: 70% of herpetic blepharitis and 83% of superficial keratitis were due to HSV 1.1 while 71% of stromal keratitis were due to HSV 1.2. No HSV 2.2 was isolated. These results seem to support the hypothesis that genetic differences between herpetic virus strains may determine their virulence.
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PMID:[Evaluation of 80 virologically-confirmed cases of ocular herpes. Study of the correlation between the type of virus and the epidemiologic characteristics of the disease]. 632 67

The use of a passive haemagglutination test (PHA) with a stable erythrocyte diagnostic preparation sensitized with herpes simplex virus for the detection of antibody to herpes simplex virus (HSV) in the lacrimal fluid of the patients is described. Specific antibody to HSV antigen was found in 68% of the lacrimal fluids taken from patients suffering from herpetic eye disease. In patients with superficial keratitis the antibodies were found more frequently and in higher titers than in deep involvements of the cornea. In patients with keratitis and keratouveitis of unknown etiology, antibody in tears was found in 23%, and in those with inflammatory diseases of nonherpetic etiology, in 14.2%. In clinically normal subjects and patients with non-inflammatory eye affections no HSV antibody could be found in tears. Geometric mean antibody titers in tears of patients with herpes simplex keratitis and keratouveitis were statistically significantly higher than in patients with other diagnoses. The diagnostic importance of HSV antibody found in tears is discussed.
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PMID:The use of a passive hemagglutination test (PHA) in the diagnosis of viral eye diseases. Investigation of lacrimal fluid for the presence of antibody to herpes simplex virus (HSV). 690 80


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