PMC9656390_01
Initial slit lamp examination of the involved eyes. (A) patient 1 presented with multiple punctate infiltrations in the stromal of the pericentral corneal and moderate conjunctival injection 3 days after surgery; (B) patient 2 presented with corneal stromal edema and opacity 1 week after surgery; (C) patient 3 presented with corneal opacity and stromal edema 1 month after surgery; (D) patient 4 presented with multiple punctate infiltrations in the stromal of the pericentral corneal 3 days after surgery.
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The 4 patients were clinically diagnosed with herpetic keratitis 3 days to 1 month after surgery based on their typical presentations of corneal stromal infiltrates with/without epithelial involvement and response to anti-viral therapy (Figure 1).
Slit lamp examination of the involved eyes at the last follow-up visit. (A) patient 1, 1 week after treatment; (B) patient 2, 2 weeks after treatment; (C) patient 3, 2 months after treatment; (D) patient 4, 1 week after treatment.
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Nevertheless, all patients had stromal involvement and presented with corneal stromal nebula or macular at the last follow-up visit (Figure 2).