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Herpes Simplex KeratitisAka: Herpes Keratitis, Herpes Simplex Conjunctivitis, HSV Conjunctivitis

Epidemiology
1. Outbreaks in winter and early summer
Symptoms
1. Previous history of Herpes Keratitis
2. Coexisting Fever Blister on lip or upper face
3. Recent Upper Respiratory Infection
4. Absent history of Corneal Trauma
Signs
1. Unilateral inflammation of Conjunctiva and Cornea
2. Dendritic ulcers on Fluorescein staining of Cornea
3. Reduced Corneal sensitivity
Complications
1. Corneal Ulcer and scarring with obscured vision
Management
1. Urgent Ophthalmology referral
2. Consider Hospital admission
3. AVOID Topical Steroids

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/16/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.