Presumed herpes simplex virus ulcerative nodular episcleritis treated by topical acyclovir alone

Abstract

A 7-year-old female child was referred to the cornea clinic with a painless, ulcerated, and inflamed nodule near the limbus which did not respond to 1-week antibiotic therapy and worsened on starting topical steroids. Clinical examination showed ulcerative nodular episcleritis and raised a suspicion of herpes simplex virus etiology. The patient responded well and resolved completely on topical antiviral therapy alone.

Keywords

• episcleritis
• herpes simplex virus
• limbal nodule