Abstract:
Introduction. Measles (lat. morbilli) is an acute anthroponotic infectious virus
disease with a high contagion level. In general, measles is common for children.
However, there are a good number of the diseased among adults. A clinical picture
of measles in adults is characterized by more intensive symptoms and by more
likely development of complications.
Purpose. To analyze the clinical course of measles keratoconjunctivitis in adults.
Materials and Methods. In 2017, we followed up two patients (aged 34 and 42)
having had measles with an atypical disease course. Both patients were diagnosed
bilateral conjunctivitis and superficial punctate keratitis. Dry eye syndrome was
moderate. The patients were performed anti-inflammatory, antiviral, desensitizing
and substitutional therapy. 3 days after treatment onset, the patients' complaints
decreased and biomicroscopy findings were improved. At Day 7, the subjective
complaints and clinical signs almost disappeared.
Conclusion. The course of measles in adults is of particular severity. Measles
keratoconjunctivitis is characterized by punctuate eruption in the cornea and
pronounced dry eye syndrome. Early therapy enabled to regress the process and
to recover the vision within a short period of time.