Blephroconjuctivitis by Primary herpes infection (HSV)

                               
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Blephroconjuctivitis by Primary herpes infection (HSV), without previous viral exposure, usually occurs in childhood and is spread by droplet transmission, or less frequently by direct inoculation. Due to protection bestowed by maternal antibodies, it is uncommon during the first 6 months of life, though occasionally severe neonatal systemic disease may occur. Most primary infections are subclinical or cause only mild fever, malaise and upper respiratory tract symptoms. Blepharitis and follicular conjunctivitis may develop but are usually mild and self-limited. Treatment, if necessary, involves topical aciclovir ointment for the eye and/or cream for skin lesions