Abstract
Purpose To describe the spectrum and recurrence of herpes simplex virus (HSV) keratitis in children and adolescents. Design Retrospective cohort study. Methods Twenty-three patients younger than age 16 years were diagnosed with HSV keratitis at one institution. Results All children presented with dendritic or punctate epithelial keratitis, and stromal keratitis occurred concurrently with epithelial keratitis in 14 patients (61%). Six patients (26%) had bilateral HSV keratitis. Eleven patients (48%) developed recurrent HSV keratitis at a median of 15 months after the first documented episode. Amblyopia occurred in three children. Conclusion Children with herpetic keratitis may have bilateral ocular involvement and are at risk for recurrent keratitis and amblyopia.
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