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
