PKP(perforating Keratoplasty) after herpetic keratitis, what should be done? скачать в хорошем качестве

PKP(perforating Keratoplasty) after herpetic keratitis, what should be done?

The duration of herpes treatment before corneal transplantation depends on the severity and frequency of herpes simplex virus (HSV) eye infections. Typically, ophthalmologists recommend: 1. At Least 6 Months Without Recurrence – Patients should be free of active HSV keratitis (stromal or epithelial) for at least six months before undergoing corneal transplantation. 2. Antiviral Prophylaxis – Long-term antiviral therapy (such as oral acyclovir, valacyclovir, or famciclovir) is usually given before and after surgery to reduce the risk of reactivation. The exact duration and dosage depend on the patient’s history of outbreaks. 3. Close Monitoring – Even after six months of inactivity, patients should be closely monitored for signs of HSV reactivation, which can increase the risk of graft failure. Consulting with an ophthalmologist or corneal specialist is essential to determine the appropriate timing and treatment plan before surgery.