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VOLUME 7 , ISSUE 1 ( January-June, 2023 ) > List of Articles


Recurrence of Herpes Simplex Keratitis in Corneal Grafts

Neharika Sharma, Jawahar Lal Goyal, Abha Gahlot

Keywords : Case report, Corneal grafts, Herpes simplex virus, Penetrating keratoplasty

Citation Information : Sharma N, Goyal JL, Gahlot A. Recurrence of Herpes Simplex Keratitis in Corneal Grafts. Curr Trends Diagn Treat 2023; 7 (1):14-16.

DOI: 10.5005/jp-journals-10055-0163

License: CC BY-NC 4.0

Published Online: 21-07-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Recurrence of herpes simplex virus (HSV) keratitis is a possible complication of keratoplasty done for corneal scars resulting from herpes simplex keratitis. Prognosis is often poor. A couple of months ago, a 38-year-old woman with penetrating keratoplasty operated for herpes simplex keratitis two years back presented to us with corneal oedema in the left eye with vision of counting fingers at one foot. We prescribed her topical steroids, and she improved significantly but she failed to come for follow-up regularly. Last week, she presented to us again and had unfortunately developed epithelial dendritic keratitis (stain positive) along with minimal corneal oedema. This time, we treated her with topical acivir and discontinued previously prescribed steroids. She responded dramatically well to acivir with disappearance of dendrites, within 4 days, but her corneal oedema increased again. Hence, we have started her on oral steroids along with topical acivir, mild topical steroids, and hypersol. She improved her vision from 3/60 to 6/24. She is now on regular follow-up.

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