TJ-CEO
2011 , Vol 6 , Num 2
Recurrent Herpetic Keratouveitis and Scleritis: A Rare Case Report
1Dicle Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Diyarbakır, Yrd. Doç. Dr.2Ergani Devlet Hastanesi, Göz Hastalıkları A.D., Diyarbakır, Uzm. Dr.
3Dicle Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Diyarbakır, Doç. Dr. Herpes virus type 1 eye infections are often caused by the activation of latent viruses in the trigeminal ganglion. The most common forms of relapses are stromal keratitis and iridocyclitis, but blepharitis, conjunctivitis, scleritis, epithelial keratitis, and endotelitis also can be seen. Topical and systemic antiviral agents and topical corticosteroids are widely used in herpetic eye involvement. A low dose of systemic acyclovir was found to be efficient in the prevention of recurrence of all forms of herpes simplex virus eye diseases. Topical cyclosporine A can be used as an immunomodulatory agent both to taper topical corticosteroids and also in the treatment of dry eye symptoms accompanying decreased corneal sensitivity. We present a rare combination of stromal keratitis, non-necrotizing scleritis, iridocyclitis, glaucoma, and endotelitis in a patient with recurrent herpetic eye disease. Keywords : Herpes simplex virus type 1, keratouveitis, treatment, stromal keratitis, scleritis