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   Table of Contents      
ORIGINAL ARTICLE
Year : 1983  |  Volume : 31  |  Issue : 4  |  Page : 395-396

Complication of epidemic viral conjunctivitis


Rotary Eye Institute Navsari, India

Correspondence Address:
O P Billore
Rotary Eye Institute Navsari
India
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Source of Support: None, Conflict of Interest: None


PMID: 6677597

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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 Oct 20];31:395-6. Available from: https://www.ijo.in/text.asp?1983/31/4/395/27563

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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 Top


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 Top


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 Top


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 Top


Bactarial and fungus infection was superadded in 14 cases of corneal ulcer follow­ing epidemic viral conjunctivitis.

Neurological complications were noted­following epidemic viral conjunctivitis.[1]

 
  References Top

1.
Duke Elder, S., 1977, System of ophthalmology vol. VIII Part I. Diseases of the outer eye.  Back to cited text no. 1
    


    Figures

  [Figure - 1]
 
 
    Tables

  [Table - 1], [Table - 2], [Table - 3], [Table - 4]



 

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