Diagnostic challenges in herpetic anterior uveitis: A case report

Abstract

A 32-year-old male was clinically diagnosed as having acute anterior uveitis with secondary glaucoma. He was continued on previously prescribed steroid and antiglaucoma medications topically. Past history of trauma in same eye and vesicular eruptions near lips was positive. Aqueous sample was sent for real time PCR for herpes simplex due to strong clinical suspicion. It tested positive for HSV. Complete resolution occurred in 3 weeks with oral Valacyclovir 500 mg TDS and topical Gancyclovir 0.15% TDS for 2 weeks followed by once a day for next 2 weeks. Acyclovir 400 mg bi-daily was continued for one year orally to prevent recurrence.