PubMed · 10201161
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N Ozaki, R Ieki. 1999. [Acute hemorrhagic conjunctivitis].. https://pubmed.ncbi.nlm.nih.gov/10201161/
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A patient with subconjunctival haematoma related to enterovirus 70 who was treated with tissue plasminogen activator (tPA) is reported. A 46-year-old man developed a severe subconjunctival haematoma and discharge in the left eye. Investigations, including coagulation tests, showed no abnormalities apart from a high-serum antibody titre for enterovirus 70. The polymerase chain reaction demonstrated enterovirus 70 DNA in resected conjunctival tissue, leading to a diagnosis of acute haemorrhagic conjunctivitis. The left eye was treated with a single subconjunctival injection of tPA (16 000 IU) and the subconjunctival haematoma resolved completely after 3 days. Severe subconjunctival haematoma can occur in patients with acute haemorrhagic conjunctivitis due to enterovirus 70. Subconjunctival injection of tPA may be useful for the treatment of severe subconjunctival haematoma.
OBJECTIVE: To study the etiology of acute hemorrhagic conjunctivitis (AHC) in Qingdao during 1997. METHODS: During the AHC epidemic season viruses from the conjunctival swabs were isolated in Hela and Hep-2 cell cultures and were identified by neutralization test. RESULTS: All isolated virus strains were identified as (CA24) v and adenoviruses (Adv) by neutralization test with antisera of CA24 v, Echo virus 70(EV70), CA24, CA24 v of Beijing local strain, Ad3, Ad7 and Ad11. CONCLUSION: In 1997, a small epidemic of acute hemorrhagic conjunctivitis was caused by adenoviuses and CA24 v.
An epidemic of acute haemorrhagic conjunctivitis (AHC) was reported from Pune in August-September, 1996. Conjunctival swabs and scrapings were taken from acute patients attending the OPD of the Ophthalmology department of B. J. Medical College, Pune. Conjunctival swabs were processed in human embryonic lung fibroblasts (HEL) cell line and viral isolates were obtained which were identified as Enterovirus (EV) 70 prime strain using standard in-vitro neutralisation test. Indirect intracellular immunofluorescence test also confirmed the identity of the virus involved in the epidemic.