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is the keratitis associated with Adenoviral keratoconjunctivitis due to hypersensitivity reaction to the virus or due to affection of the cornea by the virus itself?

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is the keratitis associated with Adenoviral keratoconjunctivitis due to hypersensitivity reaction to the virus or due to affection of the cornea by the virus itself?

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Because in the ttt of the adenoviral conjunctivitis it is mentioned that topical steroids should be avoided, then in the adenoviral keratitis ttt , topical steroids was mentioned, This is not possible except if the keratitis is due to hypersensitivity reaction that occur after resolution of the virus itself [specially that it is mentioned that the antiviral drugs r ineffective in this case, so we can not give steroids under umbrella of antiviral drugs]

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