Management of Primary herpes simplex infection
• A follicular conjunctivitis
• 50% have lid or corneal ulcers (diagnostic)
• Dendritic ulceration with fl uorescein (in some)
Treatment of herpes simplex keratitis
• Attend to eye hygiene
• Aciclovir 3% oint, 5 times/d for 14 d or for at least 3 d after healing
• Atropine 1% 1 drop, 12 hrly, for the duration of treatment will prevent
refl ex spasm of the pupil (specialist supervision)
• Debridement by a consultant
• A follicular conjunctivitis
• 50% have lid or corneal ulcers (diagnostic)
• Dendritic ulceration with fl uorescein (in some)
Treatment of herpes simplex keratitis
• Attend to eye hygiene
• Aciclovir 3% oint, 5 times/d for 14 d or for at least 3 d after healing
• Atropine 1% 1 drop, 12 hrly, for the duration of treatment will prevent
refl ex spasm of the pupil (specialist supervision)
• Debridement by a consultant