University of Iowa Health Care

Ophthalmology and Visual Sciences

Herpes Simplex Keratitis

Contributor: Alison Bozung, OD

Photographer: Jody Troyer, CRA

Posted March 8, 2018

This photo exhibits multiple branching epithelial dendritic lesions due to herpes simplex virus (HSV). This particular patient had a history of herpetic keratitis, and reactivation of the virus was likely due, in part, to immunosuppression from the initiation of systemic chemotherapy for metastatic adenocarcinoma.

Herpes simplex virus (keratitis)

Herpes epithelial keratitis

Contributor: Jordan M. Graff, MD

Category: Cornea

Posted February 8, 2008

HSV Keratitis

HSV Keratitis

Not all cases of HSV keratitis have the large, arborating brightly staining dendrites seen in classic text-book examples. The lesions in this case of documented HSV keratitis are multiple, smaller, and with less impressive branching. However, the clinician should recognize the dendritic appearance. The overall context of the patient's clinical presentation helps to make the diagnosis (pain, photophobia, blurred vision, tearing, epithelial vessicles, decreased corneal sensation).

HSV Keratitis

Flourescein staining and cobalt blue light illumination of the same lesions seen in Figure 1.

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last updated: 02-08-2008; addition made 03/8/2018
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