Herpes simplex virus keratitis: histopathologic neovascularization and corneal allograft failure.

Abstract:

PURPOSE:To identify whether histopathologic presence of neovascularization is predictive for allograft failure following penetrating keratoplasty for herpes simplex virus (HSV) keratitis. METHODS:Retrospective, interventional case series of 62 consecutive patients with HSV keratitis who underwent penetrating keratoplasty at the Kellogg Eye Center between 1990 and 2000. Reviews of the patients' clinical charts and the histopathologic slides of their excised corneal buttons were performed to identify associations between histopathologic neovascularization and clinical outcomes. MAIN OUTCOME MEASURE:To determine whether histopathologic presence of neovascularization predicts allograft failure. RESULTS:Histopathologic presence of neovascularization was present in 31% of corneal specimens and predicted subsequent allograft failure (P = 0.002) and HSV recurrence (P = 0.05). CONCLUSION:Histopathologic presence of neovascularization is a risk factor for corneal allograft failure and HSV recurrence.

journal_name

Cornea

journal_title

Cornea

authors

Garcia DD,Shtein RM,Musch DC,Elner VM

doi

10.1097/ICO.0b013e31819c4e55

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

963-5

issue

9

eissn

0277-3740

issn

1536-4798

journal_volume

28

pub_type

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