|Year : 1983 | Volume
| Issue : 4 | Page : 395-396
Complication of epidemic viral conjunctivitis
OP Billore, AP Shroff, RJ Mirza
Rotary Eye Institute Navsari, India
O P Billore
Rotary Eye Institute Navsari
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Billore O P, Shroff A P, Mirza R J. Complication of epidemic viral conjunctivitis. Indian J Ophthalmol 1983;31:395-6
|How to cite this URL:|
Billore O P, Shroff A P, Mirza R J. Complication of epidemic viral conjunctivitis. Indian J Ophthalmol [serial online] 1983 [cited 2020 Jun 1];31:395-6. Available from: http://www.ijo.in/text.asp?1983/31/4/395/27563
20 millions people were affected in India following epidemic of viral conjunctivitis in the year 1981. Infection was airborne highly contagious. It spread from Bombay which is a cosmopolitan city and almost covered every state. It's peak period was different in various states. It's peak period was different in various states. Attempts to isolate the virus in the laboratory were not fruitful.
| Material and methods|| |
Eye check up was done in patient's suffering from epidemic viral conjunctivitis. Fluorescein staining and slit lamp examination were done in each case. Conjunctival smear and culture sensitivity were done in cases with corneal involvement. Refraction and funds examination was done in those cases which came with complaints of blurring of the vision. Cases with cranial nerve involvement were subjected to neurological checkup.
| Observations|| |
Epidemic viral conjunctivitis was very severe in the year 1981. During the epidemic 5184 cases of conjunctivitis were examined at Rotary Eye Institute NAVSARI. Out of these cases 24 cases had complication which were examined and treated. Out of 24 cases 21 were males (87.5) and 3 were females (12.5",,). Ocular complication occurred after I to 2 weeks of conjunctivitis. In 6 cases (25°;,) it was seen between two weeks after the attack of conjunctivitis. 13 cases (54.17%) had complications between I to 2 months after the ocular infection. Three cases (12.5%) had within 3 to 4 weeks and 2 cases (8.33°') had between 3 to 4 months after conjunctivitis respectively. [Table - 1]. 15 cases (62.5) were between the age group of 21 and 40 years and 5 cases (20.8%) were between 11 to 20 years. 3 cases 12.50%) were seen between the age group of 40 to 60 years and one case (4.17' 10 ) below 10 years. Blurring of vision was very common after the epidemic. Blurring of vision was recorded in 10 cases, Out of 24 cases of ocular complication, 14 cases (58.35%) had corneal ulcer when stained with fluorscein strip and examined with slit lamp. Hypopyon corneal ulcer was seen in five cases. Superadded bacterial infection was seen in 13 cases (54.17%). Bacterial and fungal infection was found in three cases (12.5%), Gm + Ve cocci were seen in majority of cases and OM-Ve rods were seen in one case. Anterior segment was involved in 19 cases (79.17%). Posterior segment was affected in 2 cases (8.33%) only [Table - 2]. Neurological involvement was seen in 6 cases (25%), 3 cases (12.56%) had iridocyclitis and came with the complaints of pain and blurring of vision. Slit lamp examination revealed aqueous flare and keratic precipitates. Posterior polar cataract was seen in one case only [Table - 3]. Retinal haemorrhage at posterior pole and macular oedema was seen in one cases each. Retrobulbar neuritis was seen in one case. 6 case(25%) presented with neurological complication following epidemic viral conjunctivitis, 3 cases (12.50%) had partial ptosis and one case of Bilateral ptosis had bilateral corneal ulcer as well, facial palsy was seen in two cases (8.33%). Endophthalmitis was seen in one case only. A young patient developed retrobulbar neuritis following the attack of viral conjunctivitis, later he developed optic atrophy and his vision could not be improved beyond 4 meters in both eyes although retinal visual acuity was 6/6 in both the eyes. A 20 year old patient had superadded bacterial and fungus infection following the epidemic. Corneal grafting was done in that case.
| Discussion|| |
Epidemic viral conjunctivitis which spread from cosmopolitan city Bombay to whole country and 20 million people were affected. Peak period of the disease was different in different states. Attempts to isolate virus were not fruitful. Neurological complication also noted with ocular complications suggesting affenity of the virus for nervous system. Mostly complication occurred between 1 to 2 months after the epidemic (94.17% cases).
| Summary|| |
Bactarial and fungus infection was superadded in 14 cases of corneal ulcer following epidemic viral conjunctivitis.
Neurological complications were notedfollowing epidemic viral conjunctivitis.
| References|| |
Duke Elder, S., 1977, System of ophthalmology vol. VIII Part I. Diseases of the outer eye.
[Figure - 1]
[Table - 1], [Table - 2], [Table - 3], [Table - 4]