24 February 2024: Articles
Herpes Simplex Keratitis as a Complication of Pterygium Surgery
Mistake in diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Xinhan Cui B , Jini Qiu B , Feifei Huang B , Chaoran Zhang E , Tingting Shao A , Yan Wang A*DOI: 10.12659/AJCR.942401
Am J Case Rep 2024; 25:e942401
Table 1. Details of the patients with herpes simplex keratitis after pterygium surgery.
| Case No. | Age/sex | Eye | Site of pterygium | Technique | BCL wear | Latency period (days) | Diagnosis delay (days) | Diagnostic tool | Surgery |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 69/M | OS | Nasal | Simple resection | – | 30 | 80 | PCR | Corneal patch graft |
| 2 | 62/M | OS | Nasal | AMT | – | 70 | 20 | Tear HSV sIgA(+) | AMT |
| 3 | 64/M | OS | Bilateral | Conjunctival graft | + | 10 | 0 | Clinical | – |
| 4 | 42/M | OD | Nasal | Conjunctival graft | – | 20 | 18 | mNGS | – |
| 5 | 73/M | OS | Nasal | Simple resection | – | 35 | 75 | Tear HSV sIgA(+) | – |
| HSV – herpes simplex virus; M – male; OS – left eye; OD – right eye; AMT – amniotic membrane transplantation; BCL – bandage contact lens; latency period, latency period between pterygium surgery and keratitis; diagnosis delay – days of patients receiving the treatment for herpes simplex infection after their primary keratitis symptom begins; mNGS – metagenomics next generation sequencing. | |||||||||