J Korean Ophthalmol Soc.  2014 May;55(5):761-765. 10.3341/jkos.2014.55.5.761.

A Case of Peripheral Ulcerative Keratitis as Primary Herpes Simplex Infection in a Child

• Chang JH
• Kim HK

• KMID: 2218100
• DOI: http://doi.org/10.3341/jkos.2014.55.5.761

Abstract

PURPOSE
To report a case of peripheral ulcerative keratitis in a case of primary herpes simplex infection.
CASE SUMMARY
A 7-year-old male complaining of pain, redness, and decreased vision in the left eye 5 days in duration visited our clinic. The patient had also vesicular lesions over the edematous left upper eyelid. Slit-lamp examination revealed peripheral ulcerative keratitis with stromal infiltration involving the superior peripheral cornea. Corneal sensation in the left eye was decreased. The patient was advised to use topical and oral antiviral agents and a topical steroid. After 5 days of follow-up, the corneal lesions were decreased and vesicles were absent. Six months later, only minor opacities remained in the cornea.
CONCLUSIONS
We report the first case report in Korea of peripheral ulcerative keratitis with blepharoconjunctivitis presented as primary herpes simplex infection which responded to antiviral and steroid treatment in a young male.

Keyword

Peripheral ulcerative keratitis; Primary herpes simplex keratitis

MeSH Terms

Antiviral Agents
Child*
Cornea
Corneal Ulcer*
Eyelids
Follow-Up Studies
Herpes Simplex*
Humans
Korea
Male
Sensation
Antiviral Agents

Figure

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  Figure 1. (A) Vesicular lesions over the left upper eyelid with mild erythema and edema. (B) Yellow and brown scabs over the left upper eyelid after 5 days of treatment. (C) Corneal epithelial defects with stromal infiltration were detected. (D) The fluorescence staining of Fig. 1C. (E) Upper bulbar conjunctiva revealed follicles with pseudomembrane. (F) The fluorescence staining of Fig. 1E. (G) After 1 week, corneal epithelial defects with stromal infiltration were improved. (H) After 1 month, epithelial lesions were healed, but the corneal opacity remained.

Reference

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