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Decision-making in Herpes Simplex viral keratitis grafts
Radhika Natarajan1, Madhuvanthi Mohan1
1Department of Cornea and Refractive Surgery, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
Indian Journal of Ophthalmology
|June 16, 2023
Summary
Corneal transplantation for healed herpes simplex virus (HSV) keratitis presents challenges. This video details managing preoperative, intraoperative, and postoperative issues for successful keratoplasty in HSV keratitis patients.
Area of Science:
- Ophthalmology
- Virology
- Surgical Science
Background:
- Healed herpes simplex virus (HSV) keratitis poses significant challenges for corneal transplantation (keratoplasty).
- Complications can arise during the preoperative, intraoperative, and postoperative phases of the procedure.
Purpose of the Study:
- To outline the challenges associated with keratoplasty in patients with healed HSV keratitis.
- To describe preventative and management strategies for these complex cases.
Main Methods:
- The video discusses typical and atypical features of HSV keratitis.
- It covers clinical examination, surgical indications, and intraoperative/postoperative management.
Main Results:
- Highlights diagnostic criteria for HSV keratitis readiness for surgery.
- Emphasizes preoperative, intraoperative, and postoperative considerations for corneal transplantation in healed HSV keratitis.
Conclusions:
- Structured decision-making for corneal transplants in HSV keratitis can be achieved by following key management points.
- Effective management strategies are crucial for improving outcomes in high-risk grafts.
