Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with unilateral ocular irritation, photophobia, blurred vision, and foreign body sensation. Symptoms are associated with decreased corneal sensitivity and recurrent episodes. No history of recent ocular trauma or contact lens abuse.
Clinical Examination Findings
Slit-lamp examination reveals characteristic dendritic or geographic epithelial ulceration with terminal end-bulbs, confirmed by fluorescein staining. Corneal sensation is reduced in the affected area. Anterior chamber shows mild to moderate cell and flare. Intraocular pressure is within normal limits.
Treatment Protocol
Initiate topical antiviral therapy (e.g., Ganciclovir 0.15% gel 5 times daily or Trifluridine 1% drops 9 times daily). Consider oral antiviral prophylaxis (e.g., Valacyclovir 500mg BID) for recurrent cases. Avoid topical corticosteroids unless specifically indicated for stromal involvement under close supervision.