&lt;p&gt;Corneal Refractive Surgery in Patients with a History of Herpes Simplex Keratitis: A Narrative Review&lt;/p&gt;

Moshirfar, Majid; Milner, Dallin; Baker, P.; McCabe, Shannon E; Ronquillo, Yasmyne C; Hoopes, Phillip C

doi:10.2147/opth.s282070

Cited by 27 publications

(25 citation statements)

References 85 publications

(105 reference statements)

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“…Many people have latent virus with no clinical manifestation. 60% to 90% of people worldwide carry HSV-1 antibody.1% to 6% of primary infections have clinical manifestations [ 1 ].Latent herpetic oculopathy after refractive surgery has been reported in the literatures [ 6 – 8 ].Two large retrospective studies revealed that the incidence rate of HSK after PRK and LASIK was much higher than that of the general population [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report

Nie

Chen

2022

BMC Ophthalmol

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Background Herpes simplex keratitis (HSK) is a rare and sight-threatening complication following refractive surgery. SmartSurfACE surgery is the result of combining transepithelial photorefractive keratectomy (trans-PRK) with Smart Pulse Technology (SPT) to diminish surface irregularities of the residual stromal bed after surgery with less pain, faster re-epithelialization, and better postoperative visual acuity. In this article, we report the first case of HSK following SmartSurf ACE without history of herpetic eye disease. Case presentation A 21-year-old woman underwent bilateral SmartSurfACE without history of clinical herpetic infection, active eye disease, or systemic disease. Mild superficial punctate keratitis occurred on the tenth postoperative day. The condition was not improved by ophthalmic drugs of anti-inflammation or epithelial healings. Dendritic corneal ulcer appeared within one month, which is the commonly recognized clinical manifestation of herpes simplex keratitis. The patient was managed with topical and systemic antiviral agents. After nine days of antiviral therapy, the lesion healed up, remaining mild stromal scarring in both eyes ultimately. Conclusion Herpes simplex keratitis is a rare but sight-threatening complication following refractive surgery. For the ocular irritation symptoms of postoperative patients, we should consider the possibility of HSK and give timely treatment.

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Section: Discussionmentioning

confidence: 99%

Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report

Nie

Chen

2022

BMC Ophthalmol

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“…The presentation of herpetic keratitis ranged from 1 day post-LASIK to 28 months with median being 4 weeks ( 8 ). In our case, this time range was 24 months and she had no previous HSV keratitis story.…”

Section: Discussionmentioning

confidence: 99%

Is COVID -19 Infection a trigger for Herpetic stromal keratitis?

Yıldız¹

2022

Beyoglu Eye J

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In June 2020, a 28-year-old female patient was admitted to our clinic with reduced vision in the left eye. She had systemic COVID-19 infection in May 2020 and during her treatment course, her visual complaints had begun approximately 1 week after the beginning of the COVID-19. Previously, the patient had bilateral femtosecond assisted – Laser in situ Keratomileusis in our clinic in 2018. There was no previous history of herpetic eye involvement. In her examination, the uncorrected visual acuity was 20/20 in the right and 20/32 in her left eye. Slit-lamp examination revealed interlamellar infiltration at the flap interface in the left eye. Considering herpetic activation, ganciclovir ointment 5 × 1, valacyclovir tablet 2 × 1, and prednisolone acetate 1.0% eye drops 5 times a day and artificial tear 5 × 1 were started. Two weeks later, the infiltration completely resolved and the uncorrected visual acuity increased to 20/20.

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“…Although corneal dystrophies are usually bilateral, PPCD may present unilaterally with asymmetric symptoms [2,3]. Some patients with PPCD are asymptomatic [1], while others can present with blurred vision, halos, and corneal edema [4] ranging from minimal edema to bullous keratopathy [3]. Other findings include thickening of Descemet's membrane with anterior chamber excrescences [1]; scalloped, refractile band-like lesions [1,3]; posterior corneal vesicles surrounded by gray haze [1,3]; iris angle adhesions [1,3,4]; and epithelialization of the endothelium [1,5].…”

Section: Digital Featuresmentioning

confidence: 99%

“…Some patients with PPCD are asymptomatic [1], while others can present with blurred vision, halos, and corneal edema [4] ranging from minimal edema to bullous keratopathy [3]. Other findings include thickening of Descemet's membrane with anterior chamber excrescences [1]; scalloped, refractile band-like lesions [1,3]; posterior corneal vesicles surrounded by gray haze [1,3]; iris angle adhesions [1,3,4]; and epithelialization of the endothelium [1,5]. The endothelial cell density (ECD), especially in vesicular and diffuse morphologies, is typically lower than that of a healthy eye but does not decrease at a faster rate over time than what is observed in normal aging [6].…”

Section: Digital Featuresmentioning

confidence: 99%

Clearing the Haze: Navigating Corneal Refractive Surgery in Patients with Posterior Polymorphous Corneal Dystrophy

2021

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Posterior polymorphous corneal dystrophy (PPCD) is a corneal disorder of the endothelium and Descemet's membrane. Although reports of corneal refractive surgery including laser-assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and small incision lenticule extraction (SMILE) in PPCD are minimal, these procedures have been shown to be safe and effective in this patient population. Proceeding with corneal refractive surgery in eyes with PPCD raises concerns regarding corneal integrity, including long-term biomechanical instability, risk of ectasia, endothelial cell loss, disease progression, and corneal decompensation. Thus, LASIK, PRK, and SMILE should be considered with caution. This commentary explores the patient characteristics associated with favorable surgical outcomes and factors that weigh against proceeding with refractive surgery.

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<p>Corneal Refractive Surgery in Patients with a History of Herpes Simplex Keratitis: A Narrative Review</p>

Cited by 27 publications

References 85 publications

Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report

Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report

Is COVID -19 Infection a trigger for Herpetic stromal keratitis?

Clearing the Haze: Navigating Corneal Refractive Surgery in Patients with Posterior Polymorphous Corneal Dystrophy

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