Prodrome of headache, malaise, photophobia, fever
Unilateral pain or hypesthesia in V1 distribution
Hyperemic conjunctivitis, episcleritis, lid droop
Vesicular rash in V1 distribution
Slit-lamp exam:
Initial finding of punctate epithelial keratitis that then evolves into pseudodendrite
Pseudodendrite (poorly staining mucous plaque with no epithelial erosion)
In contrast to HSV which has true dendrite with epithelial erosion and staining
Cell and flare
Initial finding of punctate epithelial keratitis that then evolves into pseudodendrite
Pseudodendrite (poorly staining mucous plaque with no epithelial erosion)
In contrast to HSV which has true dendrite with epithelial erosion and staining
Cell and flare
In contrast to HSV which has true dendrite with epithelial erosion and staining
Herpes zoster ophthalmicus
Viral conjunctivitis
Sympathetic ophthalmia
Epidemic keratoconjunctivitis
Vertigo
Herpes simplex keratitis
Bacterial conjunctivitis
Optic neuritis