This video shows the classic dendritic ulcer seen with HSV keratitis. You can see them easily with the use of fluorescein staining (that’s why everything is blue in the movie). These patients typically present with a painful, red eye with photophobia. The HSV is typically the type-1 hsv infection that most people are inoculated with (HSV1 is the cause of cold-sores) and is thus not a sexual infection.
Treatment involves topical viroptic and possibly systemic antivirals if recurrent. You definitely DON’T want to treat this with steroids as this can increase viral replication and lead to terrible geographic ulcers.
Download this video
To download this video, right click on a link below and choose “Save Target As…”
hsvdendriticulcer.wmv (4.6 meg, Windows video file)