By ULY CLINIC

 

Herpes Simplex Keratitis

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Introduction

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It is an inflammatory condition of the cornea caused by Herpes Simplex Virus. 

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Diagnostic Criteria

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• Acute unilateral painful eye 

• Blurring of vision 

• Reduced corneal sensation

• Dendritic corneal ulcer seen on staining with fluorescein

 

Pharmacological Treatment

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• Acyclocir 3%, ophthalmic ointment inserted in the lower conjunctival sac, 4 hourly. Continue for 3 days after ulcer has been healed.

AND

• Acyclovir, oral, 400mg 8–4 hourly a day for 7–10 days depending on initial response as well as the extent of the ulcer

 

Note: Topical cortecosteroids are contraindicated in the treatment of dendritic ulcers

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Updated on, 2.11.2020

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References

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1. STG