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Review
. 2004 Sep;138(3):474-5.
doi: 10.1016/j.ajo.2004.04.027.

Herpes simplex virus keratitis in children

Eva-Marie Chong  1 , Kirk R Wilhelmus, Alice Y Matoba, Dan B Jones, David K Coats, Evelyn A Paysse
Affiliations
Review

Herpes simplex virus keratitis in children

Eva-Marie Chong et al. Am J Ophthalmol. 2004 Sep.

Abstract

Purpose: To describe the spectrum and recurrence of herpes simplex virus (HSV) keratitis in children and adolescents.

Design: Retrospective cohort study.

Methods: Twenty-three patients younger than age 16 years were diagnosed with HSV keratitis at one institution.

Results: All children presented with dendritic or punctate epithelial keratitis, and stromal keratitis occurred concurrently with epithelial keratitis in 14 patients (61%). Six patients (26%) had bilateral HSV keratitis. Eleven patients (48%) developed recurrent HSV keratitis at a median of 15 months after the first documented episode. Amblyopia occurred in three children.

Conclusion: Children with herpetic keratitis may have bilateral ocular involvement and are at risk for recurrent keratitis and amblyopia.

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