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VIRAL KERATITIS ET CAUSA HERPES SIMPLEX VIRUS: A CASE REPORT
I. Gusti Bagus Teguh Pramana*, I. Putu Rustama Putra, Luh Pradnya Ayu Dewantari and IGNG Bidura
Keratitis is an inflammation of the cornea characterized by acute pain in the eye, decreased visual acuity, corneal ulcers, and stromal infiltration that can potentially threaten vision. Herpes Simplex Virus (HSV) is one of the causes of viral keratitis. Continuous therapy is needed in the management of keratitis. This case report aims to discuss the clinical symptoms and management of keratitis caused by HSV. A 61-year-old man came with complaints of blurred vision in his right eye since 1 week ago. His symptoms worsened and accompanied by nausea, vomiting, and headaches. The results of physical examination of the eyes showed that the visual acuity in the right eye was 6/15 and the left eye was 6/20. CVI (+) dendritic lesions, central corneal infiltrate and senile arch (+) in right eye, normal left eye. Examination of both eyes revealed deep anterior chamber, regular round iris, normal (+) pupillary reflex, RAPD (-), clear lens. The patient had a history of herpes zoster infection since 2 months ago without any history of medication. The patient was diagnosed with Viral Keratitis et causa Herpes Zoster Virus in the right eye. The patient was treated with Acyclovir orally, Acyclovir eye drops, Gentamicin eye ointment, artificial tears, and other symptomatic medications with routinely control every 1 week. Viral keratitis is a disease that requires serious management. The success of therapy is influenced by the speed of early diagnosis and the determination of therapy to prevent permanent visual disturbances.[Full Text Article]