RT Book, Section
A1 Singh, Manpreet
A1 Whitfield, Denise
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181038423
T1 Ocular Herpes Simplex
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181038423
RD 2024/04/23
AB Ocular  herpetic  disease  may  be  neonatal,  primary,  or  recurrent.  Neonatal  disease  occurs  secondary  to  passage  through  an  infected  birth  canal  and  is  usually  HSV  type  2.  Primary  ocular  herpes  may  present  as  a  blepharitis  (grouped  eyelid  vesicles  on  an  erythematous  base),  conjunctivitis,  or  keratoconjunctivitis.  Patients  with  keratoconjunctivitis  commonly  note  pain,  irritation,  foreign-body  sensation,  redness,  photophobia,  tearing,  and  occasionally  decreased  visual  acuity.  Follicles  and  preauricular  adenopathy  may  be  present.  Initially,  the  keratitis  is  diffuse  and  punctate,  but  after  24  hours,  fluorescein  demonstrates  either  serpiginous  ulcers  or  multiple  diffuse  epithelial  defects.  True  dendritic  ulcers  are  rarely  seen  in  primary  disease.