Authors: Seiya Miyajima Yoichiro Sano Chie Sotozono Norihiko Yokoi Yutaka Ishino Shigeru Kinoshita
Publish Date: 2016/02/10
Volume: 48, Issue: 2, Pages: 184-185
Abstract
These cases comprised 6 patients examined at our hospital between April 1992 and November 2001 Past operations were keratoplasty in 5 eyes and cataract surgery in 1 eye Clinical findings and predisposing factors were evaluated retrospectively The period between herpetic epithelial keratitis onset and ophthalmic surgery ranged from 15 to 79 months Predisposing factors included corticosteroid therapy and operative wound The herpetic epithelial lesions were dendritic ulcers in 2 eyes geographic ulcer in 1 eye and atypical epithelial lesions in 3 eyes in all cases herpes simplex virus HSVDNA was detected by polymerase chain reaction PCR in tear fluid All herpetic epithelial lesions healed with oral and topical acyclovirWhen corticosteroids are used following ophthalmic surgery physicians should be alert to the possibility of herpetic epithelial keratitis even in patients with no clinical history of herpes simplex keratitis PCR detection in tear fluid is helpful in diagnosing this disease Nippon Ganka Gakkai Zasshi J Jpn Ophthalmol Soc 107538–542 2003
Keywords: