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March 1981

Conjunctival, Corneal Involvement Accompanying Erosive-Ulcerative Blepharitis

Author Affiliations


Arch Ophthalmol. 1981;99(3):512. doi:10.1001/archopht.1981.03930010514029

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To the Editor.  —I read with interest the article in the Archives by Egerer and Stary entitled "Erosive-Ulcerative Herpes Simplex Blepharitis" (1980;98:1760-1763). Both eyes were affected in only one of their 28 patients, and none had significant conjunctival or corneal involvement.I recently treated a 20-year-old man who, on examination, demonstrated moderate bilateral swelling of the upper and lower eyelids with multiple erosions of the intermarginal portions and skin of both lower lids. Preauricular and submandibular lymphadenopathy and pyrexia were also present. These findings were identical to those described in the article. In addition, however, several conjunctival ulcerations were present in each eye, primarily near the limbus; multiple dendrites were noted on each cornea. Improvement occurred after treatment with idoxuridine.The patient had underlying eczema of the skin, which probably was a predisposing factor to the development of the bilateral herpetic blepharitis. For several days before seeking medical attention, he

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