CASE REPORT |
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Year : 2018 | Volume
: 66
| Issue : 2 | Page : 306-308 |
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Reactivation of herpes simplex viral keratitis following the botulinum toxin injection
Muralidhar Ramappa1, Peter Y Jiya2, Sunita Chaurasia1, Milind Naik3, Savitri Sharma4
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
Source of Support: None, Conflict of Interest: None | Check |
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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