Algan B
Klin Monbl Augenheilkd. 1978 Apr;172(4):609-16.
The meta-herpetic keratitis is clinically characterized by the occurrence of a parenchymatous keratitis due to iterative herpetic corneal wounds. The rupture of the Bowman membrane which makes such a deep wound possible is performed by an enzyme: collagenase. This parenchymatous keratitis is rarely due to an extension of the viral infection. Most often it has an immunologic origin. It is a disciform keratitis due to a viral allergy, or a polymorphic keratitis connected with a bacterial, often tubercular, origin. In this case, one always notices a characteristic sugar tongs like composite limbic vascularization. Recovery can only be obtained by a specific desensitization.
复发性疱疹性角膜炎的临床特征是由于反复的疱疹性角膜损伤而发生实质层角膜炎。使这种深部伤口成为可能的Bowman膜破裂是由一种酶——胶原酶完成的。这种实质层角膜炎很少是由于病毒感染的扩展。最常见的是它有免疫源性。它是一种由病毒过敏引起的盘状角膜炎,或是一种与细菌(通常是结核杆菌)起源相关的多形性角膜炎。在这种情况下,总能注意到一种特征性的糖钳样复合性边缘血管化。只有通过特异性脱敏才能实现恢复。