Conjunctival herpetic ulcer in an immunosuppressed patient with birdshot chorioretinopathy Case report

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Ana Fernández-Hortelano
Elena Guzman-Almagro
María Castro-Rebollo
Carlos Izquierdo-Rodríguez
Julio González Martin-Moro


Introduction: Herpes Simplex Virus (HSV) is a human herpesvirus responsible for systemic infections. Ocular involvement spans all ocular tissues. Corneal lesions, such as dendritic or geographic ulcers, are frequently found in HSV keratitis while conjunctival lesions have been described as infrequent.

Clinical case: A 62-year-old man diagnosed with Birdshot chorioretinopathy presented a stye in his eyelid that was treated with oxytetracycline-hydrocortisone ointment. One week later he returned presenting several small dendritic corneal ulcers in both eyes and a conjunctival ulcer in one of them. All lesions healed completely after treatment with topical acyclovir ophthalmic ointment at 3%.

Conclusions: We should pay attention to the conjunctiva and not merely focus on the cornea when examining patients with herpetic eye disease, especially if being treated with inmunosupressors.


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Fernández-Hortelano A, Guzman-Almagro E, Castro-Rebollo M, Izquierdo-Rodríguez C, González Martin-Moro J. Conjunctival herpetic ulcer in an immunosuppressed patient with birdshot chorioretinopathy. Ophthatherapy [Internet]. 2021Aug.27 [cited 2022Jan.25];8(3):175-8. Available from:
Conservative treatment


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