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To the Editor.
—I read the article by Gelender entitled "Descemetocele After Intraocular Lens Implantation," in the January Archives (1982;100:72-76). It is a clinical impression and I cannot immediately find the place, but I had a patient who had a similar painless ulcer after a standard cataract extraction. In my patient, however, it had a peculiar geographic appearance and was strictly limited to the epithelium, at the beginning. I treated it with antiherpetic local medication and was using no steroids, and it healed immediately. It occurred to me that what Gelender may have seen is herpes simplex virus after surgery in a rather elderly patient, partly suppressed by the steroid therapy that was being used postoperatively, so that the inflammatory component was minimal.
Freedman JK. Herpes Simplex Virus. Arch Ophthalmol. 1982;100(7):1177. doi:10.1001/archopht.1982.01030040155028