Delhi Journal of Ophthalmology

Bilateral Herpes Simplex Keratitis Associated with Dengue Fever

Ravi Kaur Sandhu, Pawan Prasher
 Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, India.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Pawan Prasher (MS)
Department of Ophthalmology,
Sri Guru Ram Das Institute of Medical Sciences and Research,
Vallah, Amritsar, Punjab, India. 
Email: pawanprasher@yahoo.com


Received: 29-JAN-2022 Accepted: 16-MAY-2022 Published Online: 25-JUN-2022
DOI: https://dx.doi.org/10.7869/djo769

Abstract
We report a unique case of a 45-year-old female who presented with complaints of diminution of vision, redness, watering, photophobia and foreign body sensation in both eyes along with haemorrhagic crusts involving periocular skin on both sides. She had recently been diagnosed and treated for dengue fever. There was also history of administration of Covid vaccine 1 month back. There was no history of any other chronic systemic illness. Ocular examination showed congestion of conjunctiva, haziness of corneas and diminished corneal sensations in both eyes. Fluorescein stain revealed characteristic dendrites of herpes simplex keratitis in both eyes. Prompt and aggressive treatment for the ocular and skin lesions was started. She responded well to the treatment and recovered completely as observed on subsequent follow ups. Our case highlights the need for physicians or ophthalmologists treating patients with dengue fever to be aware of these complications.

Keywords :Herpes Simplex Virus, Keratitis, Bilateral, Dengue Fever