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Target Concepts:
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Query: UMLS:C0022575 (
keratoconjunctivitis sicca
)
772
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Fifty patients suffering from
KCS
and exhibiting various patterns of corneal staining with fluorescein were examined for adenovirus types 3, 7, 8, and 14,
herpes simplex
, and the TRIC group by tissue culture and immunofluorescein techniques. No viruses were detected by either methods, and it is considered that presumption of virus involvement in these cases is untenable.
...
PMID:Studies of the viral flora in keratoconjunctivitis sicca. 16 82
Fourteen penetrating keratoplasties were done on ten patients using 9.5 mm or larger diameter grafts. The causes for large grafts were perforation or impending perforation of large descemetoceles due to bacterial ulceration in five eyes,
herpes simplex
viral keratouveitis in three eyes, severe
keratoconjunctivitis sicca
with ulceration in four eyes, alkali burn and Mooren's ulcer in one eye each. The average duration of graft clarity was 67.2 days (range 14 days to 6 months). The best spectacle corrected visual acuity range was from l.p. to 20/40. Two patients had recurrent ulceration requiring two large diameter regrafts each. The average period of clarity in these repeated grafts was 26 days. A small graft placed inside of the failed large graft remained clear in 50% of the six eyes which were done for visual restoration. A large diameter penetrating keratoplasty may salvage an eye that might have otherwise been lost and in a few cases provide the opportunity for useful vision.
...
PMID:Large diameter therapeutic penetrating keratoplasties. 248 13
The authors describe 19 patients with toxic ulcerative keratopathy. These patients were referred with other diagnoses and were victims of overtreatment. Fourteen of these patients had iatrogenic toxic keratopathy, and the other five had self-induced keratoconjunctivitis. The corneal defects tended to be inferior or inferonasal and associated with an intense, coarse superficial keratitis in "comet's impact" fashion. Conjunctival hyperemia, chemosis, and conjunctival staining were considerably more prominent inferiorly and inferonasally. Diagnosis was the key element in management. Treatment consisted of discontinuation of the offending medication or preservative. Other important measures included preservative-free medications, patching, therapeutic contact lenses, goggles, and viscoelastic agents. Many of the patients with iatrogenically induced toxic keratopathy had significant ocular surface disease such as
keratoconjunctivitis sicca
(6 patients), previous intraocular surgery (6 patients),
herpes simplex
infection (1 patient), or herpes zoster infection (1 patient).
...
PMID:Toxic ulcerative keratopathy. An unrecognized problem. 223 36