L’herpès oculaire de l’enfant

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Abstract
A series of 38 children with ocular herpes simplex infection is reported. The follow-up periods ranged between 1 and 10 yr after the first ocular herpetic involvement. The primary ocular infection occurred in most cases between 2 and 6 yr of age, with a similar rate in males and females. The number of recurrences increased with the duration of the follow-up period: during the first 2 yr, recurrences developed in 50% of cases, and after 2 yr all the children had new herpetic ocular attacks. Idoxuridine treatment failures were found in 11 cases of herpetic superficial keratitis. Ocular herpes simplex in children is a major cause of visual loss and disability. After a follow-up period of 5 yr, 75% of patients with herpetic keratitis had a visual acuity of 5/10 or less.

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