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Inflammatory & Trauma
Herpes simplex blepharitis demonstrating clustered vesicles and ulcerated lesions on the upper lid.

  • May present as a primary or recurrent disease
  • Clinical features:
    • Symptoms:
      • Asymptomatic
      • May present with prodromal systemic symptoms such as fever, malaise, myalgias and regional adenopathy
    • Signs:
      • Primary infection:
        • The lesions usually confine to periocular region
        • Becomes clinically overt in 3-9 days with manifestation of periocular clustered vesicular eruption, conjunctivitis, keratitis or preauricular adenopathy
        • Usually resolves over 2-3 week and heals without scarring
      • Recurrent infection
        • Usually is a shorter course of disease
        • Focal clusters of vesicles or ulcerations along the lid margin may develop in 2-3 days and last for only 5 to 7 days
  • Diagnosis is made clinically
  • Management:
    • Prophylactic antiviral ointment or drops is indicated to protect the globe
    • Aggressive treatment is required in the presence of corneal involvement because it may cause permanent corneal scarring and visual disturbance.

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