HSV Dendrititic Epithelial Keratitis

Herpes simplex dendritic epithelial keratitis

  • Common viral infection.

Clinical Features: 

  • Unilateral and 10% bilateral.
  • Symptoms: tearing, foreign body sensation, photophobia, ocular pain and blurring of vision
  • Signs:
    • First present as punctate keratitis that may become progressive
    • Pathognomonic single or multiple branching dendritic ulcers possibly progressing to wider geographic ulcers
    • May present also as stromal keratitis, endothelitis, uveitis and retinitis

Treatment:

individually or in combination

  • Topical antivirals
  • Systemic antivirals