Introduction

Herpes simplex keratitis most commonly presents with a dendritic corneal ulcer.

Epidemiology

  • Incidence: 14.00 cases per 100,000 person-years
  • Peak incidence: 70+ years
  • Sex ratio: 1:1
Condition Relative
incidence
Microbial keratitis1.43
Herpes simplex keratitis1
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Features
  • red, painful eye
  • photophobia
  • epiphora
  • visual acuity may be decreased
  • fluorescein staining may show an epithelial ulcer

Management

Management
  • immediate referral to an ophthalmologist
  • topical aciclovir