Adenovirus Epithelial Keratitis and Thygeson’s Superficial Punctate Keratitis

Helena M. Tabery gained her MD from the University of Lund, Sweden in 1972 and thereafter undertook ophthalmologic training at the Eye Clinic, Malmö University Hospital UMAS, Sweden (1973-1975) and the Eye Department of Dr. Karl Lisch in Wörgl, Austria (1975-77). Dr. Tabery has been an accredited Specialist in Ophthalmology since 1975. Between 1977 and 1989 she was a clinical teacher at the Department of Ophthalmology, Malmö University Hospital, University of Lund, Malmo, Sweden. Since 1989 she has worked as a Specialist in Ophthalmology at the Eye Clinic, Malmö University Hospital UMAS, Sweden.

Despite differences in frequency, causation, and infectivity, adenovirus epithelial keratitis and Thygeson's superficial punctate keratitis (TSPK) are often confused in clinical practice owing to the similarity between adenovirus epithelial infiltrates and 'coarse' epithelial TSPK lesions. This book presents the morphological features, dynamics, and sequelae of adenovirus and Thygeson's keratitides captured at high magnification in the living human cornea. It thereby fills the existing void between conventional photographs and slit-lamp observations. Case reports demonstrate the importance of patient history in differential diagnosis, illustrate the need for familiarity with early manifestations of adenovirus infections, and assist in the diagnosis of rare variants of TSPK. Furthermore, the detailed observations on the natural course of the diseases ensure that the book will serve not only as a diagnostic tool but also as a reference when evaluating the effects of potential new treatments.

The two very different diseases examined here-the former common and contagious, the latter rare and noninfectious-have confusingly similar symptoms. The book's high-magnification images and case reports help clinicians distinguish between the two.

Shows how to avoid confusion between adenovirus keratitis, herpes simplex infections, and Thygeson's keratitis