Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem

This article presents modern aspects of clinical manifestations, laboratory diagnostics and treatment of herpetic keratitis (HK). A total of 68 patients participated in the study. In 75 percent of patients high relapse rates of Herpes Simplex skin infection were revealed in the period before HK onse...

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Main Authors: G. M. Chernakova, D. Yu. Maychuk, T. B. Semenova
Format: Article
Language:Russian
Published: Real Time Ltd 2018-10-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/83
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author G. M. Chernakova
D. Yu. Maychuk
T. B. Semenova
author_facet G. M. Chernakova
D. Yu. Maychuk
T. B. Semenova
author_sort G. M. Chernakova
collection DOAJ
description This article presents modern aspects of clinical manifestations, laboratory diagnostics and treatment of herpetic keratitis (HK). A total of 68 patients participated in the study. In 75 percent of patients high relapse rates of Herpes Simplex skin infection were revealed in the period before HK onset (one-six times per year). Trigger factors for keratitis were thoroughly analyzed. Among them we discovered a number of new ones: the instillation of prostaglandin analogues, paranasal sinus surgery, septoplasty and blepharoplasty. 51 out of 68 patients had active herpetic keratitis, whereas 17 people were in the remission phase. Polymerase chain reaction (PCR) test results for the herpes viruses (HSV, VZV, CMV, EBV, HHV-6) in various body fluids (tears, saliva, blood and urine) from patients with HK are discussed. Herpesvirus DNA was determined in 96 percent of cases (49 out of 51 patients with active HK). Among these 49 patients a monoinfection was detected in 47 percent of cases and mixed infection - in 53 percent. According to the obtained results, we proposed some optimized treatment solutions // Russian Ophthalmological Journal, 2017; 1: 90-7. doi: 10.21516/2072-0076-2017-10-1-90-97.
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series Российский офтальмологический журнал
spelling doaj-art-1d29c942553e48de94fc72e4e65f091d2025-08-03T19:22:31ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602018-10-01101909710.21516/2072-0076-2017-10-1-90-9783Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problemG. M. Chernakova0D. Yu. Maychuk1T. B. Semenova2Russian Medical Academy of Postgraduate Education, Moscow, RussiaS. Fyodorov Eye Microsurgery Federal State Institution, Moscow, RussiaHerpes Health Centre, Moscow, RussiaThis article presents modern aspects of clinical manifestations, laboratory diagnostics and treatment of herpetic keratitis (HK). A total of 68 patients participated in the study. In 75 percent of patients high relapse rates of Herpes Simplex skin infection were revealed in the period before HK onset (one-six times per year). Trigger factors for keratitis were thoroughly analyzed. Among them we discovered a number of new ones: the instillation of prostaglandin analogues, paranasal sinus surgery, septoplasty and blepharoplasty. 51 out of 68 patients had active herpetic keratitis, whereas 17 people were in the remission phase. Polymerase chain reaction (PCR) test results for the herpes viruses (HSV, VZV, CMV, EBV, HHV-6) in various body fluids (tears, saliva, blood and urine) from patients with HK are discussed. Herpesvirus DNA was determined in 96 percent of cases (49 out of 51 patients with active HK). Among these 49 patients a monoinfection was detected in 47 percent of cases and mixed infection - in 53 percent. According to the obtained results, we proposed some optimized treatment solutions // Russian Ophthalmological Journal, 2017; 1: 90-7. doi: 10.21516/2072-0076-2017-10-1-90-97.https://roj.igb.ru/jour/article/view/83герпетический кератитпцраналоги нуклеозидовпротивовирусная терапияганцикловиррекомбинантный интерферонофтальмоферонherpetic keratitispcrnucleoside analoguesantiviral therapyganciclovirrecombinant interferonoftalmoferon
spellingShingle G. M. Chernakova
D. Yu. Maychuk
T. B. Semenova
Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
Российский офтальмологический журнал
герпетический кератит
пцр
аналоги нуклеозидов
противовирусная терапия
ганцикловир
рекомбинантный интерферон
офтальмоферон
herpetic keratitis
pcr
nucleoside analogues
antiviral therapy
ganciclovir
recombinant interferon
oftalmoferon
title Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
title_full Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
title_fullStr Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
title_full_unstemmed Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
title_short Сlinical manifestations, diagnostics and therapy of herpetic keratitis today: three facets of one problem
title_sort сlinical manifestations diagnostics and therapy of herpetic keratitis today three facets of one problem
topic герпетический кератит
пцр
аналоги нуклеозидов
противовирусная терапия
ганцикловир
рекомбинантный интерферон
офтальмоферон
herpetic keratitis
pcr
nucleoside analogues
antiviral therapy
ganciclovir
recombinant interferon
oftalmoferon
url https://roj.igb.ru/jour/article/view/83
work_keys_str_mv AT gmchernakova slinicalmanifestationsdiagnosticsandtherapyofherpetickeratitistodaythreefacetsofoneproblem
AT dyumaychuk slinicalmanifestationsdiagnosticsandtherapyofherpetickeratitistodaythreefacetsofoneproblem
AT tbsemenova slinicalmanifestationsdiagnosticsandtherapyofherpetickeratitistodaythreefacetsofoneproblem