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Herpes simplex keratitis in children

B Beigi1, K Algawi, A Foley-Nolan

  • 1Department of Paediatric Ophthalmology, Children's Hospital, Dublin, Ireland.

The British Journal of Ophthalmology
|June 1, 1994
PubMed
Summary
This summary is machine-generated.

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See all related articles

Herpes simplex keratitis in children often leads to vision problems and astigmatism. Early treatment improves outcomes for dendritic ulcers, but recurrences are common in both types of herpes simplex keratitis.

Area of Science:

  • Ophthalmology
  • Virology
  • Pediatrics

Background:

  • Herpes simplex keratitis (HSK) is a significant cause of infectious keratitis in children.
  • HSK can manifest as epithelial (dendritic) or stromal (geographic/disciform) disease, with varying prognoses.

Purpose of the Study:

  • To describe the ophthalmic findings and outcomes in children diagnosed with herpes simplex keratitis.
  • To compare the visual acuity, astigmatism, and recurrence rates between different forms of HSK in pediatric patients.

Main Methods:

  • Retrospective case series analyzing ophthalmic findings in 31 eyes of 28 children with HSK.
  • Categorization of patients into groups based on ulcer type: dendritic ulcers versus geographic or disciform stromal keratitis.
  • Assessment of corrected visual acuity, induced astigmatism, and recurrence frequency post-keratitis resolution.

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Main Results:

  • Children with dendritic ulcers had a high rate of achieving good visual acuity (80%) but frequently developed astigmatism (50%) and recurrences (45%).
  • Patients with geographic or disciform lesions experienced more severe outcomes, including reduced vision (89%), significant astigmatism (78%), and high recurrence rates (87%).

Conclusions:

  • Herpes simplex keratitis in children, regardless of type, poses a risk for visual impairment and astigmatism.
  • Prompt management is crucial, but the potential for recurrent HSK necessitates long-term monitoring in pediatric patients.