Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report

Nie, Ai-qin; Chen, Xiao-min; Li, Qiang1

2022-11-16

10.1186/s12886-022-02654-x

BMC OPHTHALMOLOGY   Impact Factor & Quartile

1471-2415

Background Herpes simplex keratitis (HSK) is a rare and sight-threatening complication following refractive surgery. SmartSurf(ACE) surgery is the result of combining transepithelial photorefractive keratectomy (trans-PRK) with Smart Pulse Technology (SPT) to diminish surface irregularities of the residual stromal bed after surgery with less pain, faster re-epithelialization, and better postoperative visual acuity. In this article, we report the first case of HSK following SmartSurf (ACE) without history of herpetic eye disease. Case presentation A 21-year-old woman underwent bilateral SmartSurf(ACE) without history of clinical herpetic infection, active eye disease, or systemic disease. Mild superficial punctate keratitis occurred on the tenth postoperative day. The condition was not improved by ophthalmic drugs of anti-inflammation or epithelial healings. Dendritic corneal ulcer appeared within one month, which is the commonly recognized clinical manifestation of herpes simplex keratitis. The patient was managed with topical and systemic antiviral agents. After nine days of antiviral therapy, the lesion healed up, remaining mild stromal scarring in both eyes ultimately. Conclusion Herpes simplex keratitis is a rare but sight-threatening complication following refractive surgery. For the ocular irritation symptoms of postoperative patients, we should consider the possibility of HSK and give timely treatment.

Case report Herpes simplex keratitis SmartSurf(ACE) Refractive surgery

SCI

English

Others

Ophthalmology

Ophthalmology

WOS:000884737800002

BMC

Web of Science

1.Jinan Univ, Dept Ophthalmol, Shenzhen Peoples Hosp, Clin Med Coll 2, Shenzhen 518020, Guangdong, Peoples R China
2.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen 518020, Guangdong, Peoples R China

Nie, Ai-qin,Chen, Xiao-min,Li, Qiang. Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report[J]. BMC OPHTHALMOLOGY,2022,22(1).

Nie, Ai-qin,Chen, Xiao-min,&Li, Qiang.(2022).Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report.BMC OPHTHALMOLOGY,22(1).

Nie, Ai-qin,et al."Herpes simplex keratitis following Smart Pulse Technology assisted transepithelial photorefractive keratectomy: a case report".BMC OPHTHALMOLOGY 22.1(2022).