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Related Experiment Video

Updated: Jun 13, 2026

Porcine Corneal Tissue Explant to Study the Efficacy of Herpes Simplex Virus-1 Antivirals
08:31

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Published on: September 20, 2021

Aciclovir-resistant herpes keratitis.

Keat Choong1, Nathan J Walker, Andrew Jg Apel

  • 1Infection Management Services, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, Qld 4102, Australia. keatchoong@optusnet.com.au

Clinical & Experimental Ophthalmology
|May 8, 2010
PubMed
Summary

Aciclovir-resistant herpes simplex virus (HSV) keratitis is an under-recognized cause of eye disease. Systemic foscarnet offers a treatment option for these challenging cases, alongside a review of other therapies.

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Area of Science:

  • Ophthalmology
  • Virology
  • Infectious Diseases

Background:

  • Herpes simplex virus (HSV) keratitis is a significant cause of vision loss.
  • Antiviral resistance, particularly to aciclovir, may be more prevalent than currently recognized.

Purpose of the Study:

  • To report on three cases of aciclovir-resistant HSV keratitis treated successfully with systemic foscarnet.
  • To review current pharmacological strategies for managing drug-resistant HSV keratitis.

Main Methods:

  • Case series describing clinical presentation and treatment outcomes.
  • Literature review of antiviral therapies for HSV keratitis.

Main Results:

  • Successful treatment of three patients with aciclovir-resistant HSV keratitis using systemic foscarnet.
  • Identification of foscarnet as a viable alternative when standard therapies fail.

Conclusions:

  • Aciclovir resistance in HSV keratitis requires consideration in treatment-refractory cases.
  • Systemic foscarnet is an effective therapeutic option for managing aciclovir-resistant HSV keratitis.