There are a number of factors which make detection of ocular herpes a daunting task. We are going to cover some of them.
Conditions to consider in the differential diagnosis of HSV keratitis include the following:
Disorder groups | Disorders |
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Corneal dystrophies |
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Autoimmune disorders |
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Malacia |
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Other infections |
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Herpes associated with other infections (mixed infections) |
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Infections with other types of herpesviruses |
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Proper differential diagnosis requires thorough history taking, virology tests, serological and bacterial tests (if needed), as well as corneal scraping and sometimes biopsy. Confocal microscopy may be a viable diagnostic technique if acanthamoeba is suspected.