Open AccessReactivation of herpes simplex viral keratitis following the botulinum toxin injection
Author(s) -
Muralidhar Ramappa,
Peter Y Jiya,
Sunita Chaurasia,
Milind N. Naik,
Savitri Sharma
Publication year - 2018
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_714_17
Subject(s) - medicine , keratitis , cornea , herpes simplex virus , botulinum toxin , dermatology , virology , ophthalmology , virus , surgery
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.