Magnetic Resonance Imaging in Epidemic Adenoviral Keratoconjunctivitis.

Most clinicians would agree that there is no reason to obtain a magnetic resonance (MR) scan to evaluate a patient with viral conjunctivitis. We scheduled a patient for an annual MR scan to monitor his optic nerve meningiomas. By coincidence, he had florid viral conjunctivitis the day the scan was performed. It showed severe eyelid edema, contrast enhancement of the anterior orbit, enlargement of the lacrimal gland, and obstruction of the nasolacrimal duct. Adenovirus produces deep orbital inflammation, in addition to infection of the conjunctival surface.