Interstitial keratitis diagnosis and treatment

J Fr Ophtalmol. 2019 Jun;42(6):e229-e237. doi: 10.1016/j.jfo.2019.04.001. Epub 2019 May 15.

Abstract

Interstitial keratitis is a non-ulcerative, non-suppurative, more or less vascularized inflammation of the corneal stroma. The corneal lesions result from the host response to bacterial, viral (40% of cases) or parasitic antigens, or from an autoimmune response (1% of cases) without active corneal infection. The natural history of the disease is divided into two phases: acute and cicatricial. This type of keratitis is less common than ulcerative bacterial keratitis, but it is a non-negligible cause of visual loss. It is associated with systemic or infectious disease and requires early diagnosis and appropriate treatment to optimize visual prognosis and avoid other complications.

Keywords: Cogan; Herpes simplex; Interstitial keratitis; Syphilis.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Amebiasis / complications
  • Cicatrix / etiology
  • Cogan Syndrome / complications
  • Diagnosis, Differential
  • Disease Progression
  • Eye Infections, Bacterial / complications
  • Eye Infections, Viral / complications
  • Humans
  • Keratitis / diagnosis*
  • Keratitis / diagnostic imaging
  • Keratitis / etiology
  • Keratitis / therapy*