Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report

Herpes simplex keratitis (HSK) is a severe ophthalmic pathology which comprises 20-50% of inflammatory diseases in the cornea. Since keratitis is characterized by a long-term duration, severity, and a tendency to recurrence, studies on ophthalmic herpes and searches for new treatments are of great r...

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Main Authors: L.F. Troychenko, T.B. Gaydamaka, G.I. Drozhzhyna
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2019-02-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2019/1/11-fulltext
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author L.F. Troychenko
T.B. Gaydamaka
G.I. Drozhzhyna
author_facet L.F. Troychenko
T.B. Gaydamaka
G.I. Drozhzhyna
author_sort L.F. Troychenko
collection DOAJ
description Herpes simplex keratitis (HSK) is a severe ophthalmic pathology which comprises 20-50% of inflammatory diseases in the cornea. Since keratitis is characterized by a long-term duration, severity, and a tendency to recurrence, studies on ophthalmic herpes and searches for new treatments are of great relevance. Our clinical case demonstrated successful combined treatment of a recurrent stromal herpetic corneal lesion with ulceration. Both treatments, conservative (complex etiotropic, anti-viral, anti-inflammatory, and nutrition-improving) and surgical (an onlay technique), were successful. At 12 months after surgery, the patients had no pain syndrome; the corneal surface was epithelialized. No recurrence of herpetic keratitis was observed. Thus, a combination of etiotropic pathogenic treatment and AM transplantation appears to be effective for severe long-lasting recurrent herpetic keratitis with the presence of defects on the corneal surface.
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spelling doaj.art-10a9989d3d5a4725a97a33c4621fe2aa2023-12-20T21:43:32ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402019-02-011616410.31288/oftalmolzh201916164Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case ReportL.F. Troychenko0T.B. Gaydamaka1G.I. Drozhzhyna2Filatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineHerpes simplex keratitis (HSK) is a severe ophthalmic pathology which comprises 20-50% of inflammatory diseases in the cornea. Since keratitis is characterized by a long-term duration, severity, and a tendency to recurrence, studies on ophthalmic herpes and searches for new treatments are of great relevance. Our clinical case demonstrated successful combined treatment of a recurrent stromal herpetic corneal lesion with ulceration. Both treatments, conservative (complex etiotropic, anti-viral, anti-inflammatory, and nutrition-improving) and surgical (an onlay technique), were successful. At 12 months after surgery, the patients had no pain syndrome; the corneal surface was epithelialized. No recurrence of herpetic keratitis was observed. Thus, a combination of etiotropic pathogenic treatment and AM transplantation appears to be effective for severe long-lasting recurrent herpetic keratitis with the presence of defects on the corneal surface.https://www.ozhurnal.com/en/archive/2019/1/11-fulltextherpetic keratitistreatment
spellingShingle L.F. Troychenko
T.B. Gaydamaka
G.I. Drozhzhyna
Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
Journal of Ophthalmology
herpetic keratitis
treatment
title Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
title_full Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
title_fullStr Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
title_full_unstemmed Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
title_short Combined Treatment for Recurrent Herpetic Stromal Keratitis with Ulceration: a Case Report
title_sort combined treatment for recurrent herpetic stromal keratitis with ulceration a case report
topic herpetic keratitis
treatment
url https://www.ozhurnal.com/en/archive/2019/1/11-fulltext
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AT tbgaydamaka combinedtreatmentforrecurrentherpeticstromalkeratitiswithulcerationacasereport
AT gidrozhzhyna combinedtreatmentforrecurrentherpeticstromalkeratitiswithulcerationacasereport