Viral Keratitis

A 32-year-old woman presents with unilateral eye pain, photophobia, and blurred vision for 3 days following a vesicular rash on the forehead. Slit-lamp examination reveals dendritic ulcers with terminal bulbs on the cornea and anterior uveitis. Regarding HSV keratitis, all of the following are true EXCEPT:

Regarding the clinical presentations and management of different forms of viral keratitis, all of the following statements are correct EXCEPT:

A 32-year-old woman presents with a 5-day history of unilateral eye pain, photophobia, and blurred vision. On examination, the cornea shows a dendritic ulcer with terminal bulbs staining with fluorescein. Conjunctival injection and preauricular lymphadenopathy are noted. What is the most appropriate next step in management?

A 45-year-old man with a history of recurrent HSV keratitis presents with stromal opacity, neovascularization, and anterior uveitis 3 weeks after onset of corneal symptoms. Topical acyclovir alone has been ineffective. What is the most appropriate next step in management?

A 32-year-old woman presents with a 5-day history of right eye pain, photophobia, and blurred vision. She reports a vesicular rash on the forehead and upper eyelid 2 days prior to eye symptoms. On examination, visual acuity is 6/9, and slit-lamp biomicroscopy reveals branching dendritic ulcers with terminal bulbs on the cornea. Corneal sensation is reduced. What is the most appropriate initial pharmacological management?