Viral keratitis should always be kept in mind while dealing
with non-healing corneal ulcers.7 While dealing with nonhealing
corneal ulcers, as the one described above, the
medical officers must realize the importance of referring such
patients early to higher specialized centers because such
delay may sometimes lead to a permanent corneal scarring
and disability. Oral antiviral prophylaxis has been shown to be
associated with a decreased risk of recurrence of epithelial
keratitis, stromal keratitis, conjunctivitis, and blepharitis due
to HSV.5,8,9 And tablet acyclovir 400 mg BD for 1 year is recommended
in patients who have 2 or more scarring epithelial
infections per year or stromal immune disease even once.
Treatment-wise, there is no drug presently available in the
market that can permanently cure herpes infection