ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesInformation for PatientsView all Images (7)
Herpes simplex virus conjunctivitis - External and Internal Eye
Print
Other Resources UpToDate PubMed

Herpes simplex virus conjunctivitis - External and Internal Eye

Print Patient Handout Images (7)
Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

Initial infection with herpes simplex virus (HSV) is often characterized as a unilateral blepharoconjunctivitis (follicular type) with a vesicular skin rash, preauricular adenopathy, and, sometimes, punctate keratitis. This initial infection may be so mild as to be missed, but the recurrences produce the classic keratoconjunctivitis. Corneal involvement may involve any layer of the cornea, but the most common is the epithelial dendritic ulcer. In the United States, 50–90% of adults have antibodies to herpes simplex virus type 1 (HSV-1), and HSV keratitis is the most frequent cause of corneal blindness.

Note: The focus of this summary is adult patients. For neonates, infants, and children, consult a specialist.

Codes

ICD10CM:
B00.53 – Herpesviral conjunctivitis

SNOMEDCT:
410508006 – Herpes simplex conjunctivitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Remember that early in the disease course the corneal lesions may be small, punctate staining areas without either the classic dendritic ulcer or stromal lesion.

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated: 03/11/2015
Copyright © 2019 VisualDx®. All rights reserved.
Herpes simplex virus conjunctivitis - External and Internal Eye
Print 7 Images
View all Images (7)
(with subscription)
Herpes simplex virus conjunctivitis : Eye pain, Photophobia, Eye irritation, Eyelid edema, Palpebral conjunctival injection, Preauricular lymphadenopathy, Unilateral, Conjunctival injection, Excessive tearing, Chemosis, Eye discharge
Clinical image of Herpes simplex virus conjunctivitis
Copyright © 2019 VisualDx®. All rights reserved.