Clinical Case Study: Post-Surgical Antiviral Intervention Following Pterygium Excision Informed by Corneal Confocal Microscopy
By
Fangfang Jin
Wenwei Li
Ting Wu
Bin Wang
April 28, 2026
Clinical Scorecard: Clinical Case Study: Post-Surgical Antiviral Intervention Following Pterygium Excision Informed by Corneal Confocal Microscopy
At a Glance
Category Detail
Condition Recurrent Pterygium and Secondary Herpes Simplex Keratitis Key Mechanisms Target Population Care Setting
Key Highlights
Pterygium is a chronic inflammatory condition often requiring surgical excision. Post-surgical complications can include recurrent pterygium and secondary infections, including herpes simplex keratitis. Corneal confocal microscopy aids in diagnosing complications post-surgery. Antiviral treatment can improve ocular conditions following pterygium excision. Early diagnosis and treatment of secondary infections are crucial for a favorable visual prognosis. Guideline-Based Recommendations
Diagnosis
Management
Initiate antiviral treatment upon confirmation of herpes simplex keratitis. Administer immunosuppressive eye drops as initial management for inflammation, followed by antiviral treatment. Monitoring & Follow-up
Risks
Patient & Prescribing Data
Combination of antiviral (e.g., acyclovir) and anti-inflammatory eye drops is effective in managing post-surgical complications.
Clinical Best Practices
Ensure thorough pre-operative assessment to identify risk factors for complications. Educate patients on signs of infection, including symptoms of herpes simplex keratitis, and the importance of follow-up care. Utilize multimodal treatment approaches for managing post-surgical ocular conditions. Related Resources & Content
