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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.



To report five cases of new-onset herpetic eye disease with unusual presentation after ocular surgery.


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.


Herpes simplex disease was detected in all cases. All cases responded to the antiherpetic medications.


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.

[PubMed - indexed for MEDLINE]
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