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Pediatric Herpes Virus Anterior Segment Infections

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Practical Management of Pediatric Ocular Disorders and Strabismus

Abstract

This chapter is designed as a practical guide for diagnosis and management of anterior segment herpetic disease in children. When these potentially serious infections occur in childhood, the pediatric ophthalmologist frequently coordinates the acute and long-term management. In atypical or severe cases, consultation with a cornea, uveitis, or infectious disease specialist may be necessary. Although complex diagnostic and treatment descriptions are possible, this chapter provides generalized guidance through defined categories of disease with delineated treatment protocols. Herpes simplex virus (HSV) is the primary focus of the chapter, and the text emphasizes pediatric blepharoconjunctivitis, epithelial keratitis, stromal keratitis, endotheliitis, iritis, and neonatal disease. Varicella zoster virus (VZV) infections are also briefly discussed. Treatment flow diagrams and clinical photographs are presented for additional guidance.

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Abbreviations

CMV:

Cytomegalovirus

CN V:

Trigeminal nerve

HEDS:

Herpetic Eye Disease Study

HSV:

Herpes simplex virus

HSV-1:

Herpes simplex virus type 1

HSV-2:

Herpes simplex virus type 2

PCR:

Polymerase chain reaction

V1 :

Ophthalmic nerve (1st branch of the trigeminal nerve)

VZV:

Varicella zoster virus

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Author information

Authors and Affiliations

  1. Boston University School of Medicine, 72 East Concord Street, Boston, MA, 02118, USA

    Aaron R. Kaufman BA

  2. Cincinnati Eye Institute, Department of Ophthalmology, University of Cincinnati, 222 Piedmont Avenue, Cincinnati, OH, 45219, USA

    Adam H. Kaufman MD, FACS

Authors
  1. Aaron R. Kaufman BA
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  2. Adam H. Kaufman MD, FACS
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Corresponding author

Correspondence to Adam H. Kaufman MD, FACS .

Editor information

Editors and Affiliations

  1. Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Elias Traboulsi

  2. Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital, Cincinnati, Ohio, USA

    Virginia Utz

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Kaufman, A.R., Kaufman, A.H. (2016). Pediatric Herpes Virus Anterior Segment Infections. In: Traboulsi, E., Utz, V. (eds) Practical Management of Pediatric Ocular Disorders and Strabismus. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2745-6_11

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  • DOI: https://doi.org/10.1007/978-1-4939-2745-6_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2744-9

  • Online ISBN: 978-1-4939-2745-6

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