This patient was complaining of extreme pain in and around the eye. HZV usually doesn't affect the cornea but this patient had primary corneal HZV. We were able to catch it really early and get her on the anti-virals very quickly to prevent worsening or lengthening of the manifestations of the disease. Usually HSV does not cause much pain. There were also some iritis associated with this so steroids were added as soon as possible along with the antivirals with success, but this has to be monitored extremely closely.
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