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Cornea & External Diseases




















Herpes simplex dendritic epithelial keratitis

  • Common viral infection.
  • Clinical features:
    • Unilateral and 10% bilateral.
    • Symptoms: tearing, foreign body sensation, photophobia, ocular pain and blurring of vision
    • Signs:
      • First present as punctate keratitis that may become progressive
      • Pathognomonic single or multiple branching dendritic ulcers possibly progressing to wider geographic ulcers
      • May present also as stromal keratitis, endothelitis, uveitis and retinitis
  • Treatment: individually or in combination
    • Topical antivirals
    • Systemic antivirals

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