Journal of the Bahrain Medical Society
Year 2020, Volume 32, Issue 1, Pages 37-40
https://doi.org/10.26715/jbms.32_2020_1_9Heba Al Saad1*, Wael Wagih2
1Intern, King Hamad University Hospital, P.O.BOX: 24343, Busaiteen, Kingdom of Bahrain.
2Consultant, Ophthalmology Department, King Hamad University Hospital, P.O.BOX: 24343, Busaiteen, Kingdom of Bahrain.
*Corresponding author:
Heba Al Saad, Intern, King Hamad University Hospital, P.O. BOX: 24343, Busaiteen, Kingdom of Bahrain, Email: heba.al.saad.94@gmail.com
Received date: June 29, 2019; Accepted date: March 1, 2020; Published date: March 31, 2020
Abstract
Herpetic stromal keratitis activates a cascade of inflammatory processes that stimulate angiogenic factorssuch as VEGF (Vascular Endothelial Growth Factor) causing the development of blood vessels in the cornea. In this case report, we describe an unusual case of a 35-year-old man with a known history of herpetic keratitis presenting to the emergency department with pain, haziness, and itchiness of the right eye dueto extensive neovascularization at the inferotemporal sclera of the corneal stroma extending to the 3o’clock position. Acyclovir, anti-VEGF (avastin), and argon laser were used in successfully managing the patient. The triple therapy reversed neovascularization and prevented its further extension, leading to a good prognosis for the patient.
Keywords: Argon Laser; Coagulation; Phototherapeutic; Keratitis; Avastin.