TY - CHAP M1 - Book, Section TI - Ocular Herpes Simplex A1 - Singh, Manpreet A1 - Whitfield, Denise A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Ocular herpetic disease may be neonatal, primary, or recurrent. Neonatal disease occurs secondary to passage through an infected birth canal and is usually HSV type 2. Primary ocular herpes may present as a blepharitis (grouped eyelid vesicles on an erythematous base), conjunctivitis, or keratoconjunctivitis. Patients with keratoconjunctivitis commonly note pain, irritation, foreign-body sensation, redness, photophobia, tearing, and occasionally decreased visual acuity. Follicles and preauricular adenopathy may be present. Initially, the keratitis is diffuse and punctate, but after 24 hours, fluorescein demonstrates either serpiginous ulcers or multiple diffuse epithelial defects. True dendritic ulcers are rarely seen in primary disease. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181038423 ER -