Eye infection (blepharitis, conjunctivitis, keratitis, stromal keratitis, uveitis, retinitis, glaucoma, or optic neuritis) caused by herpes simplex virus (HSV) types 1 or 2 or varice...
Varies according to the virus and the ocular structures involved
History of varicella or herpes simplex infection
Acute onset, eye pain, headache, photophobia, tearing, ocular redness, ...
Avoid contact with nonimmune people.
No contact lenses should be worn during treatment period.
Cool compresses; artificial tears; oral pain medications
Monitor with slit-lamp exam q1–2d until improvement and then q3–4d until epithelial defect resolves.
Weekly after epithelial disease resolves unt...
Herpes Simplex; Herpes Simplex Virus, Pediatric; Herpes Zoster (Shingles)
Algorithm: Eye Pain
B00.50 Herpesviral ocular disease, unspecified
B02.30 Zoster ocular disease, unspecified
B00.52 Herpesviral keratitis
B02.33 Zoster keratitis
B02.39 Other herpes zoster eye disease
HSV and VZV can lead to a wide array of ocular manifestations, ranging from self-limited disease to potentially vision-threatening disease and complications.
An exam with fluorescein st...
Sign up for a 10-day FREE Trial now and receive full access to all content.
1.23. A: In overt primary herpes simplex virus infection, there is a vesicular lid rash that usually does not scar.
1.26. B: Nonnecrotizing HSV stromal keratitis is associated with localized corneal edema, which may not have a disciform shape.
Herpes simplex cervicitis.
Herpes simplex: retroauricular
HSV - culture-confirmed. Painful vesicles on the foot.
FIG. 6.2. Eczema herpeticum. Ulcers and excoriations, as in these two cases [patient 1 (A, B), patient 2 (C)], usually characterize the eruption, although vesicles may be seen at times (D). More severe cases [patient 3 (E), patient 4 (F, G), patient 5 (H)], with generalized eruptions, require intravenous therapy with acyclovir.
FIG. 6.2. Eczema herpeticum. Ulcers and excoriations, as in these two cases [patient 1 (A, B), patient 2 (C)], usually characterize the eru...
1.21. A: The hallmark of herpes simplex keratitis is the dendrite, a branching, epithelial ulceration with swollen, raised edges and terminal bulbs.
1.21. A: The hallmark of herpes simplex keratitis is the dendrite, a branching, epithelial ulceration with swollen, raised edges and termin...
Orolabial herpes in a child. "Cold sore
Herpes simplex eruption on the waist of an RN - present for a few days