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Indian Journal of Ophthalmology logoLink to Indian Journal of Ophthalmology
. 2023 Jun;71(6):2629–2630. doi: 10.4103/IJO.IJO_114_23

Decision-making in Herpes Simplex viral keratitis grafts

Radhika Natarajan 1, Madhuvanthi Mohan 1,
PMCID: PMC10417973  PMID: 37322720

Abstract

Background:

Keratoplasty after healed herpes simplex viral keratitis is a challenge due to problems arising preoperatively, intraoperatively, and postoperatively.

Purpose:

In this video, we describe the necessary challenges and the steps, which can be taken to prevent and manage those cases of healed herpes simplex virus (HSV) keratitis that would require a keratoplasty.

Synopsis:

The video talks about both the typical and atypical features of HSV keratitis, clinical examination, the scenarios which would require a keratoplasty, problems arising intraoperatively and how to manage them, and finally how to approach these high-risk grafts postoperatively.

Highlights:

Our video highlights the diagnosis of HSV keratitis, which cases are ready for surgery, and preoperative, intraoperative, and postoperative considerations before corneal transplantation in healed HSV keratitis. Decision-making before corneal transplant in HSV grafts can become more structured if these points are followed.

Video Link:

https://youtu.be/xMT7Ki8vuc4

Keywords: HSV, keratitis, keratoplasty

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


Articles from Indian Journal of Ophthalmology are provided here courtesy of Wolters Kluwer -- Medknow Publications

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