Acta ophthalmologica · 2010
Unusual clinical presentations of new-onset herpetic eye disease after ocular surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Jhanji Vishal, Ferdinands Mervyn, Sheorey Harsha, Sharma Namrata, Jardine Darren, Vajpayee Rasik B
Аннотация
PURPOSE: To report five cases of new-onset herpetic eye disease with unusual presentation after ocular surgery.
METHODS: Herpetic eye disease was suspected in five cases, three after cataract surgery and two after lamellar corneal transplantation surgery. Of these, four cases presented within 2-6 weeks of surgery. The clinical presentation was in the form of an epithelial defect, suspected epithelial down growth, graft oedema with unexplained anterior chamber inflammation and graft-host interface infection. A swab for viral detection with real-time polymerase chain reaction was performed in all the described cases.
RESULTS: Herpes simplex disease was detected in all cases. All cases responded to the antiherpetic medications.
CONCLUSIONS: Our study shows that new-onset herpetic eye disease may occur after cataract surgery and lamellar corneal transplantation, and a high index of suspicion may be necessary for the diagnosis in such cases.
METHODS: Herpetic eye disease was suspected in five cases, three after cataract surgery and two after lamellar corneal transplantation surgery. Of these, four cases presented within 2-6 weeks of surgery. The clinical presentation was in the form of an epithelial defect, suspected epithelial down growth, graft oedema with unexplained anterior chamber inflammation and graft-host interface infection. A swab for viral detection with real-time polymerase chain reaction was performed in all the described cases.
RESULTS: Herpes simplex disease was detected in all cases. All cases responded to the antiherpetic medications.
CONCLUSIONS: Our study shows that new-onset herpetic eye disease may occur after cataract surgery and lamellar corneal transplantation, and a high index of suspicion may be necessary for the diagnosis in such cases.