Acyclovir-resistant Herpes Simplex Virus Keratouveitis after Penetrating Keratoplasty

Peter L. Sonkin, Keith H. Baratz, Richard Frothingham, L. Michael Cobo

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Purpose: A case of acyclovir-resistant herpes simplex virus keratouveitis after penetrating keratoplasty is reported. Methods: Resistance to acyclovir was evident clinically and was confirmed by in vitro susceptibility testing. The susceptibility of the herpes simplex isolates to acyclovir and foscarnet was determined by a dye uptake assay that measured cytopathic effect, and thymidine kinase activity was measured by a plaque autoradiography technique. Results: The viral isolate from postoperative day 22 was susceptible to acyclovir and foscarnet, and showed normal thymidine kinase activity. Isolates from postoperative days 29 and 32 (coinciding with deterioration in clinical appearance) were resistant to acyclovir, susceptible to foscarnet, and deficient in thymidine kinase activity. Conclusion: Practitioners should be aware of the potential for the emergence of resistance in this setting; prophylaxis and rational alternate therapies are discussed.

Original languageEnglish (US)
Pages (from-to)1805-1808
Number of pages4
Issue number12
StatePublished - 1992

ASJC Scopus subject areas

  • Ophthalmology


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