EXPERIENCE FROM THE THREATMENT OF KERATITIS HERPETICA

Abstract

In the period of 5 years, the authors have healed a group of 40 patients with keratitis herpetica using the known antiviral therapy on 20 patients with keratitis herpetica profunda, compared with the surgical treatment (debridment) combined with antiviral therapy on 20 patients with keratitis herpetica superficialis. By removing of the pathological substrate, reepithelization of the cornea with the healthy epitelium is accelerated in the superficial keratitis herpetica. In other forms of keratitis herpetica the antiviral treatment with a proper dosage takes dominant place. Conclusion: The patients were controlled in the period of 5 years, in which, in 20 cases of keratitis profunda, 45 %, that is 9 of them, had relapses twice. In patients with superficial forms, who were threated with debridment and antiviral therapy; there were no relapses Although the debridment is rather old-fashioned invasive therapy, we consider that it is applicable in superficial forms of keratitis herpetica together with antiviral therapy.