Slit-lamp examination revealed persistent herpetic
keratouveitis in the right eye.
Observing the pattern of lesions, the dendritic pattern was the most common (57.14%) followed by superficial punctate keratitis (31.16%) in patients with HSV keratitis while in HZO, it was pseudo dendritic pattern in 13 (65%) cases and 3 (15%) cases each of stromal and
keratouveitis. Pseudo dendritic pattern was always associated with vesicles over face, unilateral along the area of distribution of ophthalmic division of trigeminal nerve.
Toda et al., "Interface fluid syndrome after laser in situ keratomileusis following herpetic
keratouveitis," Journal of Cataract and Refractive Surgery, vol.
Mayers, "Poststreptococcal
keratouveitis associated with group C streptococcus pharyngitis," Clinical Ophthalmology, vol.
Ocular involvement has been reported very rarely and it may be observed as conjunctivitis, vesiculer lesions in the conjuntiva, corneal involvement and
keratouveitis (9).
Other ophthalmologic signs include eyelid lesions [82,83],
keratouveitis [80], keratoconjunctivitis sicca [80], punctate epithelial erosions [80, 84], corneal ulceration/scarring [84], and dysplastic conjunctival lesions resembling ocular surface squamous neoplasia [85].
Keratoconjunctivitis, keratitis (dendritic ulcers) or
keratouveitis can occur.
Ophthalmic infections known to occur with HSV include blepharoconjunctivitis,
keratouveitis, acquired ankyloblepharon, and membranous tarsal plaque.
A case of vaccinia
keratouveitis has been reported after accidental ocular autoinoculation from a recent vaccination site (6).
However, ocular herpes infection, specifically
keratouveitis, is more complex than dermal or oral herpes.
Of the 53 recurrences, 31 (58.4%) exhibited AU, 16 (30.1%)
keratouveitis, and 6 (11.3%) keratitis.
Basak, "
Keratouveitis caused by Euphorbia plant sap," Indian Journal of Ophthalmology, vol.