Herpetic disease transplant rejection – Any time you touch an eye, you can activate the HSV virus, and this includes cataract surgery.
HSV destroys the anterior segment.
I had undertaken a revision transplant in this 73-year-old man, and his vision improved to 6l9. He was delighted!
Over the course of 2 days, the endothelium rejected, and after commencing topical steroids, the typical HSV dendritic epithelial pattern appeared.

We don’t prescribe enough long-term prevention for HSV, but tend to treat relapses.
Instead, shift focus to long term management.
I have told this man he will need to be on Valtrex for years, if we are to consider further surgery.
To learn more about Dr Maloof visit – www.dranthonymaloof.com.au
We can help
If you suffer from a corneal issue and think we can help, then you can request an appointment online or call the clinic on 1300 393 322. We have 2 Sydney locations for consultation, Westmead and the city on Macquarie Street opposite the Eye Hospital.