herpes simplex keratitis

Question 1

what does herpes simplex keratitis most commonly present with?

Answer 1

dendritic corneal ulcer

Question 2

what are the features of herpes simplex keratitis?

Answer 2

• red, painful eye
• photophobia
• epiphora _{(excessive watering of the eye)}
• visual acuity may be decreased
• fluorescein staining may show an epithelial ulcer (linear, branching)

Question 3

how do you manage herpes simplex keratitis?

Answer 3

1. immediate referral to an ophthalmologist
2. topical aciclovir