|Year : 2019 | Volume
| Issue : 4 | Page : 555
Himanshu P Matalia1, Chinnappaiah Nandini1, Majji Saishree1, Jyoti Matalia2
1 Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, Karnataka, India
2 Department of Pediatiric Ophthalmology Services, Narayana Nethralaya, Bangalore, Karnataka, India
|Date of Web Publication||22-Mar-2019|
Dr. Chinnappaiah Nandini
Department of Cornea and Refractive Surgery, Narayana Nethralaya-2, Narayana Health City, 258/A, Bommasandra, Hosur Road, Bangalore - 560 099
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Matalia HP, Nandini C, Saishree M, Matalia J. Archipelago keratitis. Indian J Ophthalmol 2019;67:555
Archipelago keratitis is an atypical form of herpes simplex virus epithelial keratitis. It can present as multiple foci of small dendritic epithelial keratitis [Figure 1] involving either the periphery or the entire cornea resembling an archipelago (Greek word: cluster of islands). The migration of limbal epithelial cells to the center of the cornea facilitates the viral spread, resulting in this unique pattern. This is seen with induced immunosuppression with systemic or topical agents or due to acquired immune deficiency. Diagnosis is clinical with a history of immunosuppression. Prompt initiation of topical antiviral therapy will aid in complete resolution.
|Figure 1: (a) Diffuse slit examination of the cornea, stained with rosebengal and fluorescein under cobalt blue filter showing multiple foci or islands of small dendrites spread across the entire cornea. (b) Diffuse slit examination of the cornea stained with fluorescein under cobalt blue filter showing multiple islands and a chain of dendrites at limbus|
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| References|| |
Gabison EE, Alfonsi N, Doan S, Racine L, Sultan G, Baudouin C, et al
. Archipelago keratitis: a clinical variant of recurrent herpetic keratitis? Ophthalmology 2007;114:2000-5.