Abstract
Lipid keratopathy is a disease characterized by fat deposits in the corneal stroma which causes white opasification on the cornea. When it affects the center of the cornea, visual acuity decreases. The purpose of this case is to present the treatment and treatment result of a patient with lipid keratopathy. A 41-year old man was referred to our clinic with complaint of redness and decreased vision in the left eye lasting for 2 years. He received topical medications without an improvement. Ophthalmic examinations, including visual acuity and slit lamp biomicroscopy was performed before and after treatment. He received oral acyclovir treatment after the suspicion of herpetic keratouveitis due to corneal neovascularization, keratic presipitates and stromal opasification. At the end of the treatment, marked regression of corneal neovascularization and reduction in lipid deposition was noted and visual acuity increased. In conclusion oral acyclovir can be used in the treatment of lipid keratopathy due to presumed herpes simplex keratopathy.
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