Clinical Evaluations of Recurrence after Keratoplasty in Herpes Simplex Keratitis.
- Author:
Hyung Lei KIM
1
;
Sung Kun CHUNG
;
Yoon Won MYONG
;
Sang Wook RHEE
Author Information
1. Department of Ophthalmology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Herpes simplex keratitis;
Penetrating keratoplasty;
Recurrent herpetic keratitis
- MeSH:
Cornea;
Corneal Neovascularization;
Corneal Opacity;
Corneal Transplantation*;
Follow-Up Studies;
Graft Rejection;
Herpes Simplex*;
Humans;
Keratitis, Herpetic*;
Keratoplasty, Penetrating;
Recurrence*;
Retrospective Studies;
Transplants;
Ulcer;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1992;33(3):209-215
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We conducted a retrospective study of 30 penetrating keratoplasties (30 patients) for corneal opacity due to herpes simplex keratitis from Jan. 1980 to Dec. 1989 at St. Mary's Hospital. The follow-up periods ranged from 1.3 years to 11 years (mean; 4.8 years). Overall, 23 out of the 30 transplants (76.7%) remained clear grafted cornea and 18 eyes (60%) achieved good to excellent visual acuities (0.3 or better). Herpes simplex keratitis was inactive at the time of corneal transplantation in 27 eyes (90%) and the recurrent rate after surgery was 18.5%. Patients with active ulceration or perforation, had particularly poor success rates. The overall rate of recurrent herpetic keratitis after transplantation for herpes was 26.6% Preoperative corneal neovascularization was not a statistically significant prognostic factor with regard to final visual outcome, graft clarity, graft rejection or recurrent herpetic keratitis.
