Dendritic ulcers are the common presentation of HSV keratitis. Most cases resolve spontaneously within 3 weeks, the approach behind treatment is to minimize stromal damage and scarring. Gentle epithelial debridement may be performed to remove infectious virus and viral antigens that may induce stromal keratitis. Antiviral therapy, topical or oral, is an effective treatment for epithelial herpes infection. These are the treatment options: Oral acyclovir 400 mg 5 times daily for 10 days. Trifluridine 1% drops 9 times daily OR Ganciclovir ophthalmic gel 0.15% 5 times daily until ulcer heals.