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24 February 2024: Articles

Herpes Simplex Keratitis as a Complication of Pterygium Surgery

Mistake in diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Xinhan Cui B , Jini Qiu B , Feifei Huang B , Chaoran Zhang E , Tingting Shao A , Yan Wang A*

DOI: 10.12659/AJCR.942401

Am J Case Rep 2024; 25:e942401

Table 1. Details of the patients with herpes simplex keratitis after pterygium surgery.

Case No.Age/sexEyeSite of pterygiumTechniqueBCL wearLatency period (days)Diagnosis delay (days)Diagnostic toolSurgery
169/MOSNasalSimple resection3080PCRCorneal patch graft
262/MOSNasalAMT7020Tear HSV sIgA(+)AMT
364/MOSBilateralConjunctival graft+100Clinical
442/MODNasalConjunctival graft2018mNGS
573/MOSNasalSimple resection3575Tear HSV sIgA(+)
HSV – herpes simplex virus; M – male; OS – left eye; OD – right eye; AMT – amniotic membrane transplantation; BCL – bandage contact lens; latency period, latency period between pterygium surgery and keratitis; diagnosis delay – days of patients receiving the treatment for herpes simplex infection after their primary keratitis symptom begins; mNGS – metagenomics next generation sequencing.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923