Geographical fluorescein pattern of a HSV keratitis recurrence on a corneal graft
The prognosis for a successful penetrating keratoplasty (PK) in eyes without inflammation prior to surgery approaches 80%. Nevertheless PK will not change the rate of HSV disease recurrence since it results from reactivation of latent virus lodged in the nerve ganglion.
Despite prophylactic oral antiviral therapy following PK for 12 months this patient suffered HSV keratitis relapse.
The patient is a 22 year old male that presented as an outpatient to our clinic with complaints of low visual acuity of his left eye.
The patient has a long-standing history of atopy with some bouts of seasonal allergic conjunctivitis.
He also suffers from Keratoconus. Assessment of his right eye showed progression to stage 3 in the Amsler-Krumeich classification. He had progressively become intolerant to contact-lens use and presently uses spectacle correction.