Decision-making in Herpes Simplex viral keratitis grafts

Background: Keratoplasty after healed herpes simplex viral keratitis is a challenge due to problems arising preoperatively, intraoperatively, and postoperatively. Purpose: In this video, we describe the necessary challenges and the steps, which can be taken to prevent and manage those cases of healed herpes simplex virus (HSV) keratitis that would require a keratoplasty.Synopsis: The video talks about both the typical and atypical features of HSV keratitis, clinical examination, the scenarios which would require a keratoplasty, problems arising intraoperatively and how to manage them, and finally how to approach these high-risk grafts postoperatively. Highlights: Our video highlights the diagnosis of HSV keratitis, which cases are ready for surgery, and preoperative, intraoperative, and postoperative considerations before corneal transplantation in healed HSV keratitis. Decision-making before corneal transplant in HSV grafts can become more structured if these points are followed. Video Link: https://youtu.be/xMT7Ki8vuc4

Automated summary

This video discusses the challenges and steps involved in corneal transplantation after healed herpes simplex viral keratitis, including diagnosis and classification of HSV keratitis, preoperative, intraoperative, and postoperative considerations, as well as the management of problems that may arise during surgery.