Erosive-ulcerative herpes simplex blepharitis
I. Egerer and A. Stary
In 28 subjects the diagnosis of an erosive-ulcerative herpes simplex
blepharitis was confirmed by laboratory tests. The clinical manifestations
were characterized by the presence of erosions of the intermarginal portion
of the lid or the presence of skin ulcers located at the lid margin or the
combination of both features, and usually by an absence of vesicular
eruptions. Erosions of the intermarginal portion of the lid can readily be
made visible by staining with fluorescein. The involved lid portion usually
exhibits mild swelling and tenderness on palpation. Conjunctival injection
usually is not pronounced adjacent to the lid lesion, the regional lymph
nodes being swollen. Laboratory confirmation can be achieved readily by the
indirect immunofluorescence technique. The treatment modality consists of
the combination of antibiotic and virustatic ointments.
