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Latest & greatest articles for Herpes Simplex Keratitis
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HerpesSimplexKeratitisHerpesSimplexKeratitis (HSK) submit The College submit You're here: HerpesSimplexKeratitis (HSK) HerpesSimplexKeratitis (HSK) The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Please login to view the images or . Aetiology Herpessimplex virus (HSV) infection is extremely common, though usually latent up to 90 (...) is 5-15 per 100,000 per annum) can manifest as blepharoconjunctivitis, keratitis, iridocyclitis or acute retinal necrosis. The most common form is epithelial keratitis, accounting for 50% to 80% of ocular herpes Ocular HSV infection can be categorised into primary and recurrent disease Herpessimplexkeratitis (HSK) is the leading cause of corneal blindness in developed countries. In UK, responsible for 1 in 10 corneal transplants Predisposing factors Poor general health, immunodeficiency, fatigue
Oral antivirals for preventing recurrent herpessimplexkeratitis in people with corneal grafts. Ocular herpes is a viral infection of the eye caused by the herpessimplex virus (HSV), a double-stranded DNA virus. Corneal scarring caused by herpessimplexkeratitis (HSK) is the leading infectious cause of penetrating corneal graft in high-income countries. Acyclovir is an antiviral drug known to have a protective effect against recurrences in herpetic eye disease. While there are some studies (...) which have evaluated the effects of intervention with oral antiviral in preventing such recurrences in people with corneal grafts, a systematic review of all comparative clinical trials has not been previously undertaken.To assess the efficacy of oral antivirals such as acyclovir in any dosage when taken for six months or more, in preventing recurrence of herpetic keratitis in people having corneal graft surgery for herpetic keratitis.We searched CENTRAL (which contains the Cochrane Eyes and Vision
What Is the Most Effective Treatment of HerpesSimplexKeratitis? TAKE-HOME MESSAGE Treatmentofherpessimplexviruskeratitiscanbeaccomplishedwitheithertopical tri?uridineorganciclovir,whichhavesimilaref?cacy.Oralacyclovirisanacceptable treatment option in cases for which compliance with a topical ophthalmic regimen may be of concern. What Is the Most Effective Treatment of HerpesSimplexKeratitis? EBEM Commentators Joshua Bucher, MD Rutgers–Robert Wood Johnson Medical School New Brunswick, NJ (...) % con?dence interval [CI] 0.8 to 1.1). 1 Similarly, there was no difference in the primary outcome between interferon treatment and antivirals (RR 1.2; 95% CI 0.9 to 1.6). Commentary It is estimated that herpessimplex virus keratitis has an incidence of approximately12to31peopleper 100,000 annually. 2,3 Although it is a relatively uncommon diagno- sis in the emergency department setting, initiation of appropriate treatment is critical, given the potential to lead to serious visual impairment
Therapeutic interventions for herpessimplex virus epithelial keratitis. Many clinical trials have been performed on the acute treatment of dendritic epithelial keratitis. Surveys of ocular antiviral pharmacology and of herpessimplex virus (HSV) eye disease have evaluated different interventions, but a systematic review of all comparative clinical studies has not previously been undertaken.The objective of this review was to compare the effects of various therapeutic interventions (...) after trial enrolment.This review included data from 98 trials that randomised a total of 5211 participants. Compared to idoxuridine, the topical application of vidarabine, trifluridine, or acyclovir resulted in a significantly greater proportion of participants healing within one week of treatment. Among these latter three antiviral agents, no treatment emerged as significantly better for the therapy of dendritic epithelial keratitis. Insufficient placebo-controlled studies were available to assess
Evidence-based treatment of herpessimplex virus keratitis: a systematic review Evidence-based treatment of herpessimplex virus keratitis: a systematic review Evidence-based treatment of herpessimplex virus keratitis: a systematic review Guess S, Stone D U, Chodosh J CRD summary This review concluded that trifluridine, acyclovir and possibly interferon were effective for herpessimplex virus epithelial keratitis. Corticosteroids with an antiviral were effective for Herpessimplex virus (...) stromal keratitis and long-term acyclovir reduced recurrence. The validity of these conclusions may be limited by the small size of studies, restriction to articles published in English and the method of data extraction. Authors' objectives To systematically review randomised controlled trials for Herpessimplex virus epithelial and stromal keratitis in order to establish an evidence-based foundation for treatment. Searching MEDLINE was searched from January 1966 to May 2006 for studies published
Interventions for herpessimplex virus epithelial keratitis. Many clinical trials have been performed on the acute treatment of dendritic epithelial keratitis. Surveys of antiviral pharmacology and of herpessimplex virus eye disease have evaluated different commercially available agents, but a systematic review of all comparative clinical studies has not previously been undertaken.The objective of this review is to compare the effects of various treatments for dendritic or geographic herpes (...) antiviral agents are effective and nearly equivalent, but the combination of an antiviral nucleoside and interferon seems to speed healing. Future trials of the acute treatment of herpessimplex virus epithelial keratitis must aim to achieve adequate statistical power for assessing the primary outcome and should consider the effect of lesion size and other characteristics on treatment response.