Herpetic keratitis is an ocular emergency and remains one of the major causes of blindness around the world. Herpetic keratitis is divided into the dendritic disease, interstitial keratitis, or disciform (endotheliitis) forms. The present article summarizes the practice essentials and effective management therapy for herpetic keratitis. Practice requisite for accurate judgment: The earliest sign of active viral replication in the corneal epithelium is the development of small, raised, clear vesicles.
Dendritic ulcers are the most common presentation of HSV keratitis having a linear branching pattern with terminal bulbs, swollen epithelial borders, and central ulceration through the basement membrane. The earliest signs of neurotrophic keratopathy include an irregular corneal surface and punctate epithelial erosions. These erosions may progress to a persistent epithelial defect and…
