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Bilateral herpes simplex keratitis: lactation a trigger for recurrence!
  1. Rinky Agarwal,
  2. Prafulla Kumar Maharana,
  3. Jeewan S Titiyal and
  4. Namrata Sharma
  1. Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Namrata Sharma, namrata.sharma{at}, namrata103{at}


A young lactating woman presenting to us with simultaneous bilateral corneal lesions was clinically diagnosed to have herpes simplex keratitis, which was confirmed by herpes simplex virus (HSV) PCR. The patient was administered topical and systemic acyclovir therapy and therapeutic penetrating keratoplasty was done in right eye. She was advised to continue breast feeding under strict hygienic conditions. Diagnosis and management of HSV keratitis in a lactating patient can be particularly challenging for both clinician and patient and adoption of a multidisciplinary approach is necessary to ensure safety of mother and child. At 3 months follow-up, the baby was clinically healthy, there were no side effects of acyclovir therapy in the mother or the baby and the patient showed no evidence of recurrence in either eye.

  • infectious diseases
  • ophthalmology
  • anterior chamber

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  • Contributors RA was involved in examination of the case and manuscript preparation. PKM was involved in collection of data and editing. JST was involved in final editing of the clinical photographs and the manuscript. NS was involved in the conceptualisation and final preparation of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned and Externally peer reviewed

  • Patient consent for publication Not required.