Surgical Techniques

While there’s no denying that antiviral agents are highly effective, in 30-35% of patients HSV- associated anterior uveitis does not respond well to medication.

In such cases, we consider microsurgery. Our approach is as follows. If there is no substantial improvement after 2-4 weeks of active antiviral treatment, surgery is indicated.

Microsurgery and combined treatment methods for active herpes simplex keratitis and its complications and outcomes are listed below:

  • Microdiathermocoagulation
  • Excimer laser surgery
  • Amniotic membrane transplantation
  • Local express auto-cytokine therapy (LEACKT) - external, intracameral
  • Deep anterior lamellar keratoplasty
  • Penetrating keratoplasty
  • Triple surgery based on keratoplasty