![Page 1: bhxbahxclassroster.lvpei.org/cr/images/ARCHEIVE/2019/Dr Sivani... · Web viewDiagnosis of herpes simplex virus 1 keratitis: Comparision of giemsa stain, immunofluorescence assay and](https://reader036.vdocuments.us/reader036/viewer/2022062913/5e4d2f8f0219a135e14d82d5/html5/thumbnails/1.jpg)
Type Grand roundsDate 24/10/2019Presenter Dr. K SivaniModerator Dr. J Raghava
Clinical summary
• A 9 year boy was brought by father with complaints of pain, blurring of vision, redness, watering both eyes since 10 days.
• In Right Eye- large epithelial defect with diffuse cellularity and hypopyon• In Left Eye- epithelial defect with stromal infiltration
Right eye
Left eye
![Page 2: bhxbahxclassroster.lvpei.org/cr/images/ARCHEIVE/2019/Dr Sivani... · Web viewDiagnosis of herpes simplex virus 1 keratitis: Comparision of giemsa stain, immunofluorescence assay and](https://reader036.vdocuments.us/reader036/viewer/2022062913/5e4d2f8f0219a135e14d82d5/html5/thumbnails/2.jpg)
Provisional Diagnosis of both eyes Herpes simplex viral necrotizing stromal keratitis was made
Antivirals(oral and topical) and topical steroids were given
Post treatmentRight eye
Left eye
![Page 3: bhxbahxclassroster.lvpei.org/cr/images/ARCHEIVE/2019/Dr Sivani... · Web viewDiagnosis of herpes simplex virus 1 keratitis: Comparision of giemsa stain, immunofluorescence assay and](https://reader036.vdocuments.us/reader036/viewer/2022062913/5e4d2f8f0219a135e14d82d5/html5/thumbnails/3.jpg)
Objectives of the presentation:
Differential diagnosis of HSV necrotizing stromal keratitis Clinical presentation of HSV keratitis Management of HSV necrotizing stromal keratitis
References :
1. Herpes simplex viral keratitis: A treatment guideline-2014, Michelle Lee White, MD, MPH and James Chodosh, MD, MPH. Reviewed and endorsed by the Ocular Microbiology and Immunology Group
2. Diagnosis of herpes simplex virus 1 keratitis: Comparision of giemsa stain, immunofluorescence assay and polymerasechain reaction, shaheen subhan, roby james jose et al.,2004, vol.29, Nos.2-3,pp. 209-213
3. Management of acute ulcerative and necrotizing herpes simplex and zoster keratitis with amniotic membrane transplantation., A. Heiligenhaus,, h li et al., Br J Ophthalmol 2003; 87;1215-1219