An adult patient presented to the Bascom Palmer Emergency Room with complaint of red eyes and was diagnosed with viral conjunctivitis. He was treated symptomatically and returned with decreased visual acuity and diffuse subepithelial infiltrates in the previously-infected eye. After successful treatment with topical corticosteroids, the subepithelial infiltrates recurred and the patient was started on Cyclosporine 0.5% topical drops. The subepithelial infiltrates again recurred two times while on Cyclosporine and the patient was transitioned to Tacrolimus 0.03% drops as the corticosteroid-sparing agent. After one year of treatment, the subepithelial infiltrates again recurred after stopping the Tacrolimus and the treatment course was restarted with successful clearance of symptoms.
Presentation Date: 05/18/2023
Issue Date: 06/16/2023