HSV Dendritic Epithelial Keratitis

Herpes simplex dendritic ulcer.

Characteristic:

  • Begins as discrete punctate epithelial keratitis which may then coalesce to form dendritic-shaped lesions.
  • May be single or multiple, with typical "terminal bulb" at the tips of dendrite branches.
  • Devitalized cells surrounding the edge of the dendritic ulcers best stained with rose bengal.
  • Fluorescein dye may pool in the central ulceration of epithelial dendrites