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January 1993

Primary Herpes Simplex Iridocyclitis With Iris Atrophy

Author Affiliations

London, Ontario

Arch Ophthalmol. 1993;111(1):25-26. doi:10.1001/archopht.1993.01090010027017

Anterior uveitis secondary to the herpes simplex virus (HSV) is a common finding in patients with herpetic corneal disease. Although HSV iridocyclitis has been documented in the absence of active keratitis, it is thought to occur relatively infrequently and to have a short self-limited course.1 We report herein a case of herpetic anterior uveitis that developed as the primary manifestation of the HSV infection. This uveitis produced a chronic inflammation of the anterior chamber with associated iris atrophy in the absence of corneal or epithelial disease.

Report of a Case.  —A 38-year-old white man was referred to the eye clinic with a 3-day history of a red painful right eye. The patient was well until 3 days prior to referral when he noticed the gradual onset of a foreign-body sensation, slight photophobia, and progressively increasing pain in the right eye. There was no history of cutaneous, genital, or ocular