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Scholars Journal of Medical Case Reports | Volume-14 | Issue-11
Herpetic Kerato-endotheliitis: Diagnostic Value of Biomicroscopic Signs and Contribution of Anterior Segment OCT — A Case Report
Meriem Aachak, Youness Mokhchani
Published: Nov. 7, 2026 | 10 7
DOI: https://doi.org/10.36347/sjmcr.2026.v14i11.025
Pages: 2512-2515
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Abstract
We present the case of a 39-year-old patient consulting for decreased visual acuity and pain in the right eye, in the context of recurrent episodes of visual blurring [2]. Biomicroscopic examination found localized stromal edema and fine central retrocorneal precipitates, without fluorescein uptake [3]. Anterior segment OCT showed hyperreflectivity of the endothelium and Descemet membrane, thickened and irregular due to the RCPs [4]. The diagnosis of herpetic kerato-endotheliitis was retained, and treatment combining oral valacyclovir and topical prednisolone led to complete resolution of clinical signs.