Dr. Sonali Sahoo, Dr. Sharmistha Behera, Dr. Jayashree Dora, Dr. Kanhei Charan Tudu, Dr. Jagdish Prasad Rout
AIM:To study clinical presentations of herpes simplex(HSV) keratitis and assess results of specific therapy.
MATERIALS AND METHODS:Prospective study of 54 patients with clinical features suggestive of HSV keratitis was done over 6 months.HSV keratitis was diagnosed on the basis of clinical features and diminution of corneal sensation.Specific treatment was given and followed up at 7,15 and 30 days.
RESULTS:Out of 54 cases,43(80%) were unilateral.Common symptoms were redness,watering,discharge and irritation,whereas pain,photophobia,blurred vision and lid vesicles and ulcers were less frequent.Major signs were papillae and follicles in palpebral conjunctiva and fine and coarse epithelial punctate keratitis.Dendritic ulcers were seen in 6(11%) and disciform keratitis in 8(15%) cases.After specific treatment,maximal recovery was observed at 30 days.
CONCLUSION:Most common presentation of HSV keratitis is superficial punctate keratitis.Specific treatment is effective in complete recovery.