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Acta Ophthalmol. 2012 Sep;90(6):514-8. doi: 10.1111/j.1755-3768.2010.02060.x. Epub 2010 Dec 14.

Unusual clinical presentations of new-onset herpetic eye disease after ocular surgery.

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  • 1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China.

Abstract

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.

© 2010 The Authors. Acta Ophthalmologica © 2010 Acta Ophthalmologica Scandinavica Foundation.

PMID:
21155984
[PubMed - indexed for MEDLINE]
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