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Plaquing of Herpes Simplex Viruses
Published on: November 5, 2021
Management of Herpes Simplex Virus Keratitis in the Pediatric Population
Saujanya Vadoothker1, Laura Andrews, Bennie H Jeng
1From the Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD.
Insights
Herpes simplex virus (HSV) keratitis management in children is crucial due to unique challenges and risks of vision loss. This review details current pediatric treatment strategies for HSV eye infections.
Area of Science:
- Ophthalmology
- Pediatric Infectious Diseases
- Virology
Background:
- Herpes simplex virus (HSV) keratitis is a common cause of vision impairment in children and adults.
- Pediatric HSV keratitis presents unique diagnostic and treatment challenges.
- Children face higher risks of visual morbidity, corneal scarring, and amblyopia from HSV keratitis.
Purpose of the Study:
- To review the pathogenesis of HSV keratitis in children.
- To present current medical and surgical management recommendations for pediatric HSV keratitis.
- To highlight the specific considerations for managing HSV eye infections in the pediatric population.
Main Methods:
- Literature review of studies on HSV keratitis in pediatric patients.
- Synthesis of current clinical guidelines and treatment protocols.
- Analysis of disease progression and outcomes in children.
Main Results:
- HSV keratitis management in children requires tailored approaches.
- Early diagnosis and prompt treatment are essential to prevent visual morbidity.
- Current recommendations encompass both medical and surgical interventions.
Conclusions:
- Effective management of pediatric HSV keratitis is vital to preserve vision.
- Further research is needed to optimize treatment strategies for children.
- Addressing the unique challenges in pediatric HSV keratitis can mitigate long-term visual impairment.
Abstract:
Herpes simplex virus (HSV) keratitis is a highly prevalent and visually disabling disease in both the pediatric and adult population. While many studies have investigated the treatment of HSV keratitis in adult patients, few have focused on managing this condition in children. Children are at particularly high risk for visual morbidity due to unique challenges in diagnosis and treatment, and the often more aggressive disease course that results in corneal scarring, and subsequently amblyopia. This review presents the pathogenesis and most current recommendations for the medical and surgical management of HSV keratitis in the pediatric population.
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