The direct immunoperoxidase technique was tested for diagnosis of herp
etic keratitis. The technique was performed on corneal epithelial spec
imens from 28 herpetic keratitis cases and 12 controls. Ulcers were st
ained with rose bengal or fluorescein and examined at the slit-lamp bi
omicroscope to differentiate between herpetic and nonherpetic etiology
. Scrapings obtained from the corneal epithelial ulcers were stained w
ith direct immunoperoxidase technique. The whole procedure, including
staining and examination of the slides, took a total of 70 min. The te
st proved to be accurate, easy to perform and to interpret, rapid and
relatively inexpensive with a sensitivity of 93%, and a specificity of
100%.