Abstract

Objective To analyze the related factors about the recurrence of herpes simplex keratitis (HSK) after vitrectomy. Methods The data of 108 eyes of 108 patients with HSK from Mar. 2013 to Jul. 2016 were collected and analyzed retrospectively. Herpes simplex keratitis was recurred in some patients after operation. The preoperative, intraoperative and postoperative factors related with recurrence of HSK were compared and analyed between the recurrent cases and no recurrent cases. Results In 108 eyes, 36 (33.3%) eyes were found recurrent HSK after vitrectomy. The size of vitrectomy cutter head, intraoperative observation system, intraocular tamponade, postoperative capsular membrane integrity were not relative with recurrence of HSK. And the age, diabetes, preoperative HSK recurrence times, operative time, surgical methods, corneal epithelial curettage, postoperative high intraocular pressure, corneal lesions and influenza were relative with recurrence of HSK. Conclusion The factors affected the function of corneal epithelial cells and the local or systemic immune are related with the postoperative recurrence of HSK. Key words: Vitrectomy; Simplex keratitis, herpes; Cause, recurrence

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