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Clinical examination revealed diffuse conjunctival congestion and a focal area of conjunctival blanching which on fluorescein staining showed multiple geographic conjunctival ulcers. Rose Bengal staining revealed a fine corneal dendrite at the superior limbus. A conjunctival scraping sample was sent for microbiology workup and the patient was started on topical and systemic acyclovir with a presumed diagnosis of herpetic keratoconjunctivitis. On follow-up, the Herpes simplex virus PCR test was noted to be positive. Good clinical response was noted with complete healing of ulcer by the third day of treatment.<\/jats:p>","DOI":"10.1136\/bcr-2024-263113","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T20:31:46Z","timestamp":1733344306000},"page":"e263113","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unveiling geographic conjunctival ulcer: a rare clinical presentation of herpetic eye disease"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3325-4192","authenticated-orcid":false,"given":"Pranita","family":"Sahay","sequence":"first","affiliation":[{"name":"Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaishali","family":"Tomar","sequence":"additional","affiliation":[{"name":"Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, 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