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CASE REPORT
Year : 2018  |  Volume : 66  |  Issue : 2  |  Page : 306-308

Reactivation of herpes simplex viral keratitis following the botulinum toxin injection


1 Tej Kohli Cornea Institute; Jasti V Ramanamma Children's Eye Care Center, Hyderabad, India
2 Tej Kohli Cornea Institute, Hyderabad, India
3 Department of Ophthalmic Plasty and Facial Atheistic Surgery, Orbit and Ocular Oncology, L V Prasad Eye Institute, Hyderabad, India
4 Jhaveri Microbiology Center, L V Prasad Eye Institute, Hyderabad, India

Correspondence Address:
Dr. Muralidhar Ramappa
Tej Kohli Cornea Institute, LV Prasad Institute, Hyderabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_714_17

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We describe a case of 55-year-old male farmer presented with recurrent corneal abrasions with a spastic entropion in the left eye. Superior cornea showed typical nummular opacities suggestive resolved herpetic eye diseases. On further enquiry, he had similar episodes in the past. Contralateral eye was essentially normal. Following the botulinum toxin injection for the management of spastic entropion, subject developed reactivation of herpetic necrotizing stromal keratitis. Diagnostic corneal scrapings were negative for herpes simplex virus-1 antigen by immunofluorescence assay and for DNA by molecular techniques. The case was successfully managed with topical steroids and antiviral medications.


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