Clinical Evaluations of Recurrence after Keratoplasty in Herpes Simplex Keratitis.

Kim, Hyung Lei; Chung, Sung Kun; Myong, Yoon Won; Rhee, Sang Wook

Original Article

Journal of the Korean Ophthalmological Society 1992;33(3):209-215.
Published online March 1, 1992.

Clinical Evaluations of Recurrence after Keratoplasty in Herpes Simplex Keratitis.

Hyung Lei Kim, Sung Kun Chung, Yoon Won Myong, Sang Wook Rhee

Department of Ophthalmology, Catholic University Medical College, Seoul, Korea.

단순포진성각막염에 있어서 각막이식수술후 재발에 대한 임상적 고찰

김형일(Hyung Iel Kim),정성근(Sung Kun Chung),명윤원(Yoon Won Myong),이상욱(Sang Wook Rhee)

Abstract

We conducted a retrospective study of 30 penetrating keratoplasties (30 patients) for corneal opacity due to herpes simplex keratitis from Jan. 1980 to Dec. 1989 at St. Mary's Hospital. The follow-up periods ranged from 1.3 years to 11 years (mean; 4.8 years). Overall, 23 out of the 30 transplants (76.7%) remained clear grafted cornea and 18 eyes (60%) achieved good to excellent visual acuities (0.3 or better). Herpes simplex keratitis was inactive at the time of corneal transplantation in 27 eyes (90%) and the recurrent rate after surgery was 18.5%. Patients with active ulceration or perforation, had particularly poor success rates. The overall rate of recurrent herpetic keratitis after transplantation for herpes was 26.6% Preoperative corneal neovascularization was not a statistically significant prognostic factor with regard to final visual outcome, graft clarity, graft rejection or recurrent herpetic keratitis.

Key Words: Herpes simplex keratitis;Penetrating keratoplasty;Recurrent herpetic keratitis