Age at confirmed resistant Herpes Keratitis |
68 years |
42 years |
80 years |
Number of prior recurrences |
First episode |
Second episode |
Multiple |
Immune status |
Azathioprine 100 mg + methylprednisolone 64 mg po for myasthenia gravis exacerbation |
Status post HSCT (x2) and chemotherapy for mycosis fungoides (T4N3M0B2). Treatment at diagnosis of HK: methylprednisolone 72 mg po and ruxolitinib 10 mg. |
Lymphoma treated with multiple sessions of chemotherapy (R–CHOP, R–CVP) in the past, no current immunosuppressive medication. |
Duration of antiviral prophylaxis |
Sine |
Intermittent Valganciclovir/Acyclovir since 9 years before HK for CMV reactivation, Herpes labialis, Herpes Zoster Ophthalmicus |
Acyclovir since 13 years, necessary dosage of 3 × 800 mg to suppress viral activity. |
Initial antiviral treatment |
Topical Brivudine 5×/d |
Acyclovir 5 × 800 mg po |
/ |
Curative antiviral treatment |
Topical Ganciclovir 0,15% 8×/d |
Topical Foscarnet 1,2% 5×/d |
Topical Trifluridine 1% 4×/d + IV Foscarnet |
Duration of treatment before corneal scraping |
46 days |
Immediate upon recurrence shortly after first episode (which required treatment for 11 weeks) |
Immediate due to concurrent bacterial ulcer |
Total episode duration |
64 days |
7 weeks |
5 weeks |