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Updated: Feb 15, 2026

Plaquing of Herpes Simplex Viruses
Published on: November 5, 2021
Clinical Characteristics of Herpes Simplex Virus Associated Anterior Uveitis
Barbara Wensing1, Manabu Mochizuki2,3, Joke H De Boer4
1a Oogcentrum Noord Holland , Heerhugowaard , The Netherlands.
Purpose:
The aim of this study is to describe the clinical characteristics of molecularly proven Herpes simplex virus (HSV) anterior uveitis.
Methods:
The literature on HSV anterior uveitis whereby the diagnosis was confirmed by polymerase chain reaction (PCR) and or Goldmann-Witmer coefficient in aqueous humor was reviewed. Three studies from Europe and one from Japan could be included.
Results:
It was observed that HSV anterior uveitis is mostly an acute unilateral disease mainly occurring in middle-aged people with a predominance in females. The incidence of keratitis in HSV is between 33 and 41%. High intraocular pressure is frequently observed and ranged from 46 to 90%. Sectorial iris atrophy may be absent, especially early in the disease.
Conclusion:
The clinical characteristics of HSV anterior uveitis can mimic other viral and non-infectious anterior uveitis entities especially at onset. Aqueous humor analysis for PCR and GWC can be useful in case of suspected viral uveitis.
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