We report a case of herpetic epithelial keratitis in a patient recently diagnosed with mixed connective tissue disease and central nervous system vasculitis, who had been receiving systemic immunosuppression for 1 month. The patient presented with pain, redness, and watering of the right eye for 7 days. Slit-lamp examination revealed multicentric, petal-shaped dendritic epithelial lesions on fluorescein staining under a cobalt blue filter, along with a few other healing lesions. This case highlights the need for vigilance regarding ocular manifestations of viral infections in immunosuppressed individuals.
Prasad et al. (2026) studied this question.