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?
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]