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

Chang, Joo Hyun; Kim, Hong Kyun

doi:2014.55.5.761

J Korean Ophthalmol Soc > Volume 55(5); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(5):761-765.
DOI: https://doi.org/10.3341/jkos.2014.55.5.761 Published online May 15, 2014.

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

Joo Hyun Chang, Hong Kyun Kim

Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea. okeye@hanmir.com

일차성 감염으로 발생한 단순포진바이러스의 가장자리 각막궤양 1예

장주현⋅김홍균

Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea

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.

Key Words: Peripheral ulcerative keratitis;Primary herpes simplex keratitis