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Prognostic Indicators of Herpetic KeratitisAnalysis of a Five-Year Observation Period After Corneal Ulceration
Kirk R. Wilhelmus, MD;
Douglas J. Coster, FRACS;
Hugh C. Donovan, BSc;
Michael G. Falcon, FRCS;
Barrie R. Jones, FRCS
Arch Ophthalmol. 1981;99(9):1578-1582.
Abstract
Clinical features of 152 patients with herpetic keratitis after a five-year observation period were analyzed. When compared with dendritic ulceration, geographic ulcers that had been symptomatically present for a longer time were more likely to have been treated with a topical steroid and took longer to heal. After treatment of the corneal ulceration, 40% of the patients experienced a recurrent herpetic ulcer, 25% experienced disciform or irregular stromal keratouveitis, 5% experienced ocular hypertension, and 6% had a decrease in visual acuity caused by corneal scarring. Recurrent ulcerative herpetic keratitis occurred more frequently in men and in patients who entered the study with a history of previous herpetic ulceration.
Author Affiliations
From the Departments of Clinical Ophthalmology (Drs Wilhelmus, Coster, and Falcon) and Preventive Ophthalmology (Dr Jones), Moorfields Eye Hospital; and the Computer Section (Mr Donovan), Institute of Ophthalmology, London. Dr Coster is now with The Flinders University of South Australia, Adelaide.
Footnotes
Accepted for publication Dec 29, 1980.
Reprints not available.
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