reprinted, with permission, from Trobe JD, The Physician’s Guide to Eye Care, 2nd Edition, San Francisco: American Academy of Ophthalmology; 2001.
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Comprehensive Ophthalmology, Cornea/External Disease, Neuro-Ophthalmology/Orbit
Primary herpes simplex ocular infection usually presents as a unilateral foreignbody sensation with watery discharge. There may be skin vesicles on the lids or enlarged preauricular lymph nodes. The herpes simplex virus resides in the trigeminal ganglia, and recurrent outbreaks of herpetic lesions result from periodic reactivation of the virus.