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Herpetic Eye Disease Study: Title and subTitle BreakYou Can Help FREE

Chandler R. Dawson, MD; Roy Beck, MD, PhD; Kirk R. Wilhelmus, MD; Elisabeth J. Cohen, MD
Arch Ophthalmol. 1996;114(1):89-90. doi:10.1001/archopht.1996.01100130085015
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The TREATMENT of herpes simplex virus (HSV) infections of the eye has been controversial for many years. One unresolved issue involves the use of corticosteroids in the treatment of HSV stromal keratitis. A second issue relates to the use of the potent antiviral, acyclovir, which has been demonstrated to be effective in preventing recurrences of HSV genital infections.1 Now the results of two placebo-controlled therapeutic trials have addressed these two issues in the management of herpes simplex eye disease.2,3

TOPICAL CORTICOSTEROIDS FOR HSV STROMAL KERATITIS  To evaluate topical corticosteroids, nine clinical centers in the United States recruited 106 patients with active HSV stromal keratitis, no epithelial defect, and no steroid treatment for at least 10 days.2 Forty-nine patients were randomized to treatment with placebo and 57 patients to topical prednisolone phosphate drops. In a standardized regimen, the prednisolone (and placebo) drops were progressively decreased over a 10-week

REFERENCES

Whitley RJ, Gnann JW.  Acyclovir: a decade later . N Engl J Med . 1992;;327:782-789.
Wilhelmus KR, Gee L, Hauck WW, et al.  A controlled trial of topical corticosteroids for herpes simplex stromal keratitis . Ophthalmology . 1994;;101:1883-1896.
Barron BA, Gee L, Hauck WW, et al.  A controlled trial of oral acyclovir for herpes simplex stromal keratitis . Ophthalmology . 1994;;101:1871-1882.
McCulley JP, Binder PS, Kaufman HE, O'Day DM, Poirer RH.  A double-blind, multi-center clinical trial of acyclovir vs idoxuridine for treatment of epithelial herpes simplex keratitis . Ophthalmology . 1982;;89:1195-1200.
Jackson WB, Breslin CW, Lorenzetti DWC, Michaud R.  Treatment of herpes simplex keratitis: comparison of acyclovir and vidarabine . Can J Ophthalmol . 1984;;19:107-111.
La Lau C, Oosterhuis JA, Versteeg J, et al.  Multicenter trial of acyclovir and trifluorothymidine in herpetic keratitis . Am J Med Acyclovir Symp . 1982;;73 ( (suppl 1a) ):305-306.
Goldberg LH, Kaufman R, Kurtz TO, et al.  Long-term suppression of recurrent genital herpes with acyclovir . Arch Dermatol . 1993;;129:582-587.
McLarnon LD, Kaloupek DG.  Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder . Health Psychol . 1988;;7:231-249.

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Whitley RJ, Gnann JW.  Acyclovir: a decade later . N Engl J Med . 1992;;327:782-789.
Wilhelmus KR, Gee L, Hauck WW, et al.  A controlled trial of topical corticosteroids for herpes simplex stromal keratitis . Ophthalmology . 1994;;101:1883-1896.
Barron BA, Gee L, Hauck WW, et al.  A controlled trial of oral acyclovir for herpes simplex stromal keratitis . Ophthalmology . 1994;;101:1871-1882.
McCulley JP, Binder PS, Kaufman HE, O'Day DM, Poirer RH.  A double-blind, multi-center clinical trial of acyclovir vs idoxuridine for treatment of epithelial herpes simplex keratitis . Ophthalmology . 1982;;89:1195-1200.
Jackson WB, Breslin CW, Lorenzetti DWC, Michaud R.  Treatment of herpes simplex keratitis: comparison of acyclovir and vidarabine . Can J Ophthalmol . 1984;;19:107-111.
La Lau C, Oosterhuis JA, Versteeg J, et al.  Multicenter trial of acyclovir and trifluorothymidine in herpetic keratitis . Am J Med Acyclovir Symp . 1982;;73 ( (suppl 1a) ):305-306.
Goldberg LH, Kaufman R, Kurtz TO, et al.  Long-term suppression of recurrent genital herpes with acyclovir . Arch Dermatol . 1993;;129:582-587.
McLarnon LD, Kaloupek DG.  Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder . Health Psychol . 1988;;7:231-249.

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