Herpes Simplex Keratitis

Herpes Simplex Keratitis
		SYMPTOMS	Pain \| Photophobia \| Tearing \| Blurry vision
		SIGNS	Injection \| Tearing \| Vesicles/dendrites \| Possible geographic ulcer
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT
			Topical antivirals: Zirgan 1 gtt 5x/day \| Trifluridine 1% 9x/day
			Oral antivirals: Acyclovir 400 mg 5x/day x 7-10 days \| Valacyclovir 500 mg tid x 7-10 days \| Famciclovir 250 mg tid x 7-10 days
		FOLLOW-UP	Every few days
		ADDITIONAL LAB \| TESTS	NaFl stain \| Lissamine green stain \| Rose bengal stain \| Cornea esthesiometry \| Giemsa stain is rarely utilized
		ETIOLOGY	Herpes simplex virus
		DIFFERENTIAL DX	Herpes zoster ophthalmicus \| Acanthamoeba keratitis \| Thygeson’s SPK \| Staphylococcal marginal keratitis \| Recurrent corneal erosion
		NOTES	None