타플루프로스트 점안 후 발생한 단순포진각막염 1예
A Case of Herpetic Simplex Keratitis after Application of 0.015%Tafluprost Eye Drops
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목적: Tafluprost 점안 후 발생한 단순포진각막염 1예를 경험하여 보고하고자 한다. 증례요약: 68세 남자 환자가 좌안의 통증, 눈물흘림, 충혈, 시력저하를 주소로 내원하였다. 환자는 6주 전 녹내장으로 진단받고 좌안에0.015% tafluprost와 양안에 0.15% brimonidine을 점안 중이었다. 전안부 검사에서 수지상 상피결손이 관찰되어 단순포진각막염으로진단하였다. 좌안에 0.015% tafluprost점안을 중지하고 항바이러스 연고와 경구 제제를 처방하였으며, 0.15% brimonidine은 양안 1일2회 점안 유지하면서 경과 관찰하였다. 2주 후 좌안 각막염은 치료되었고 이후 3달간 경과 관찰에서 재발 소견은 없었다.
Abstract
Purpose: To report a single case of herpes simplex keratitis after application of 0.015% tafluprost eye drops. Case summary: A 68-year-old male presented with left eye discomfort, epiphora, decreased visual acuity and hyperemia. The patient was diagnosed with glaucoma 6 weeks prior and started on 0.015% tafluprost eye drops in left eye and 0.15%brimonidine in both eyes. On slit lamp examination dendritic epithelial defect was observed and the patient was diagnosed with herpes simplex keratitis. The 0.015% tafluprost treatment was discontinued and 0.15% brimonidine was applied in both eyes twice a day. The herpetic keratitis in his left eye resolved completely in 2 weeks with acyclovir ointment and oral antiviral agent. No further recurrence was observed in the following 3 months.
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