PDF(Pubmed)
Abstract：
Herpetic epithelial keratitis is a viral infection of the cornea caused by the herpes simplex virus (HSV). It typically presents as a unilateral disease. Bilateral involvement is a rare manifestation of herpetic epithelial keratitis, accounting for only a small percentage of cases. By sharing this case, we aim to contribute to the understanding of bilateral herpetic epithelial keratitis and stimulate further research in this area to optimize patient care and outcomes A 13-year-old child, a known case of atopy, presented to the ophthalmology clinic with a complaint of pain, photophobia, and redness in the right eye (OD) for three days. The patient was diagnosed as a case of bilateral herpetic epithelial keratitis; he was started on moxifloxacin eye drops four times a day, Artelac (sodium hyaluronate) every two hours, carbomer HS, ganciclovir ointment five times per day. Bilateral herpetic epithelial keratitis is a rare manifestation of HSV infection, and its management poses unique challenges compared to unilateral disease. The diagnosis of bilateral herpetic epithelial keratitis is primarily based on clinical findings, including bilateral dendritic or geographic ulcers on the cornea. Fluorescein staining is a valuable tool for visualizing corneal ulcers. In our case, the presence of bilateral dendritic ulcers in the absence of significant anterior chamber inflammation supported the diagnosis of bilateral herpetic epithelial keratitis Despite the limited literature on bilateral herpetic epithelial keratitis, the principles of management remain consistent with those of unilateral disease. Early recognition, prompt initiation of antiviral therapy, and close follow-up are crucial for successful outcomes.
摘要：
疱疹性上皮性角膜炎是由单纯疱疹病毒（HSV）引起的角膜病毒感染。它通常表现为单侧疾病。双侧受累是疱疹性上皮性角膜炎的罕见表现，只占病例的一小部分。通过分享这个案例，我们的目标是有助于了解双侧疱疹性上皮性角膜炎，并促进该领域的进一步研究，以优化患者护理和结果一个13岁的儿童，一个已知的过敏病例,因疼痛而被送到眼科诊所，畏光,右眼发红（OD）三天。患者被诊断为双侧疱疹性上皮性角膜炎；他开始每天四次莫西沙星滴眼液，Artelac（透明质酸钠）每两小时，卡波姆HS,更昔洛韦软膏每天五次。双侧疱疹性上皮性角膜炎是HSV感染的罕见表现，与单侧疾病相比，其管理带来了独特的挑战。双侧疱疹性上皮性角膜炎的诊断主要基于临床表现。包括角膜上的双侧树突状或地理溃疡。荧光素染色是观察角膜溃疡的有价值的工具。在我们的案例中,尽管关于双侧疱疹性上皮性角膜炎的文献有限，但在没有明显前房炎症的情况下，双侧树突状溃疡的存在支持了双侧疱疹性上皮性角膜炎的诊断，管理原则与单侧疾病的原则保持一致.早期识别,迅速开始抗病毒治疗，密切的后续行动对于成功的结果至关重要。
