Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis

Anica Shah, Purushottam Joshi, Bijaya Bhusal, Prabha Subedi Department of Cornea, Mechi Eye Hospital, Birtamode, NepalCorrespondence: Anica ShahDepartment of Cornea, Mechi Eye Hospital, 9 Sainikmode, NepalTel +97 798 0331 9327Email anica.shah@gmail.comPurpose: Herpes simplex keratitis (HSK) has vari...

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Autores principales:	Shah A, Joshi P, Bhusal B, Subedi P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	herpes simplex keratitis viral keratitis herpes simplex Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/77293992ffce4397924d41c84236c8d5
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spelling	oai:doaj.org-article:77293992ffce4397924d41c84236c8d52021-12-02T02:26:38ZClinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis1177-5483https://doaj.org/article/77293992ffce4397924d41c84236c8d52019-11-01T00:00:00Zhttps://www.dovepress.com/clinical-pattern-and-visual-impairment-associated-with-herpes-simplex--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Anica Shah, Purushottam Joshi, Bijaya Bhusal, Prabha Subedi Department of Cornea, Mechi Eye Hospital, Birtamode, NepalCorrespondence: Anica ShahDepartment of Cornea, Mechi Eye Hospital, 9 Sainikmode, NepalTel +97 798 0331 9327Email anica.shah@gmail.comPurpose: Herpes simplex keratitis (HSK) has varied presenting patterns, and is one of the leading causes of corneal scarring and subsequent visual disability. This study was carried out to determine the incidence and patterns of HSK presenting at a tertiary eye center in eastern Nepal and to assess the associated visual impairment.Methods: This was a descriptive, cross-sectional study at a tertiary eye-care center that included 302 cases of clinically diagnosed HSK over a period of 1 year. Detailed ocular examination was done in all patients. Clinical manifestations and visual acuity at presentation and on subsequent visits in cases that followed up were recorded. Findings were noted in structured format and later assessed.Results: Of 302 cases of HSK, 53 presented with epithelial keratitis, 156 with stromal keratitis without ulceration, 22 with stromal keratitis with ulceration, 66 with endothelitis, and five with neurotrophic ulcers. Presenting visual acuity in 108 patients (35.7%) was <3/60. Of 175 patients who followed up, 36 patients continued to have vision <3/60.Conclusion: This study shows that HSK has diverse presentation and can cause significant vision impairment. Stromal keratitis without ulceration was the most common presentation in our study. In developing nations, due to higher incidence of fungal and bacterial keratitis, HSK is not studied much. Few epidemiological data are available on the subject, and since the disease is notorious for recurrence, long-term study is paramount to estimate the burden of visual morbidity caused by the disease.Keywords: herpes simplex keratitis, viral keratitis, herpes simplexShah AJoshi PBhusal BSubedi PDove Medical Pressarticleherpes simplex keratitisviral keratitisherpes simplexOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2211-2215 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	herpes simplex keratitis viral keratitis herpes simplex Ophthalmology RE1-994
spellingShingle	herpes simplex keratitis viral keratitis herpes simplex Ophthalmology RE1-994 Shah A Joshi P Bhusal B Subedi P Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
description	Anica Shah, Purushottam Joshi, Bijaya Bhusal, Prabha Subedi Department of Cornea, Mechi Eye Hospital, Birtamode, NepalCorrespondence: Anica ShahDepartment of Cornea, Mechi Eye Hospital, 9 Sainikmode, NepalTel +97 798 0331 9327Email anica.shah@gmail.comPurpose: Herpes simplex keratitis (HSK) has varied presenting patterns, and is one of the leading causes of corneal scarring and subsequent visual disability. This study was carried out to determine the incidence and patterns of HSK presenting at a tertiary eye center in eastern Nepal and to assess the associated visual impairment.Methods: This was a descriptive, cross-sectional study at a tertiary eye-care center that included 302 cases of clinically diagnosed HSK over a period of 1 year. Detailed ocular examination was done in all patients. Clinical manifestations and visual acuity at presentation and on subsequent visits in cases that followed up were recorded. Findings were noted in structured format and later assessed.Results: Of 302 cases of HSK, 53 presented with epithelial keratitis, 156 with stromal keratitis without ulceration, 22 with stromal keratitis with ulceration, 66 with endothelitis, and five with neurotrophic ulcers. Presenting visual acuity in 108 patients (35.7%) was <3/60. Of 175 patients who followed up, 36 patients continued to have vision <3/60.Conclusion: This study shows that HSK has diverse presentation and can cause significant vision impairment. Stromal keratitis without ulceration was the most common presentation in our study. In developing nations, due to higher incidence of fungal and bacterial keratitis, HSK is not studied much. Few epidemiological data are available on the subject, and since the disease is notorious for recurrence, long-term study is paramount to estimate the burden of visual morbidity caused by the disease.Keywords: herpes simplex keratitis, viral keratitis, herpes simplex
format	article
author	Shah A Joshi P Bhusal B Subedi P
author_facet	Shah A Joshi P Bhusal B Subedi P
author_sort	Shah A
title	Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
title_short	Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
title_full	Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
title_fullStr	Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
title_full_unstemmed	Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis
title_sort	clinical pattern and visual impairment associated with herpes simplex keratitis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/77293992ffce4397924d41c84236c8d5
work_keys_str_mv	AT shaha clinicalpatternandvisualimpairmentassociatedwithherpessimplexkeratitis AT joship clinicalpatternandvisualimpairmentassociatedwithherpessimplexkeratitis AT bhusalb clinicalpatternandvisualimpairmentassociatedwithherpessimplexkeratitis AT subedip clinicalpatternandvisualimpairmentassociatedwithherpessimplexkeratitis
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Clinical Pattern And Visual Impairment Associated With Herpes Simplex Keratitis

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