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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 44-45

Epithelial hypertrophy - an unusual representation of herpes simplex keratitis


Cornea and Refractive Services, Sankara Eye Hospitals, Guntur, Andhra Pradesh, India

Correspondence Address:
Dr. Eswar Rao Sakare
Fellow, Cornea and Refractive Services, Sankara Eye Hospitals, Pedakakani, Guntur, Vijayawada Expressway, Guntur - 522 509, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1369_21

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Herpes simplex virus (HSV) keratitis is believed to be an important cause of infectious blindness, mainly resulting from stromal opacification. It has multiple manifestations with involvement of the individual layers of the cornea (epithelium, stroma, and endothelium). We report a rare presentation of HSV keratitis, a clinical representation that includes epithelial hypertrophy and subepithelial activity with the appearance of multiple fronds of vessels arising from superficial vascularization with infiltration, which reduced on administration of topical corticosteroids and systemic antivirals. Epithelial hypertrophy also regressed over time.


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