Herpetic keratouveitis presents with a recognisable clinical pattern that distinguishes it from other causes of anterior uveitis. Correct identification of the scenario — including corneal edema morphology, keratic precipitate character, sensory changes, and intraocular pressure — directly shapes the treatment approach.
The diagnosis is clinical: circumscribed stromal edema with fine pigmented KPs on the endothelium posterior to the area of edema, reduced corneal sensation, and anterior chamber reaction of any grade — with or without posterior synechiae. Intraocular pressure is typically raised in viral keratouveitis and requires specific attention alongside the anterior segment findings.
Management combines antiviral therapy (oral and topical) with topical anti-inflammatory agents. Raised intraocular pressure in this setting calls for additional targeted treatment. The complete regimen — including specific agents, sequencing, and monitoring considerations — is in the structured protocol.
DOI: 10.4103/0301-4738.58468
There is presence of circumscribed corneal edema with fine pigmented KPs present on the endothelium posterior to the area of stromal edema, reduced corneal sensation, AC reaction of any grade, presence or absence of posterior synechiae.
IOP is found to be usually raised in patients with viral keratouveitis and hence antiglaucoma medications are often required in the management of viral keratouveitis.
The diagnosis is clinical and extensive oral and topical antiviral therapy is required along with topical steroids and cycloplegics.
View source ↗