Herpesviruses cause retinal and choroidal disease worldwide. Establish
ing a definitive diagnosis of herpesviral ocular infection is difficul
t because traditional cell culture and serologic methods often yield a
mbiguous results. Ophthalmologists are often forced to initiate antivi
ral therapy based on clinical presentation alone. When the clinical di
agnosis is not obvious the clinician often begins treating the patient
with one drug and then changes drugs if the condition does not improv
e. Unfortunately, the patient's vision may be lost by the time a corre
ct treatment is found. The polymerase chain reaction (PCR) may be impo
rtant in intraocular herpesviral infection (diagnosis because it is ex
tremely sensitive, specific, and allows multiple tests to be done on a
small sample volume.