Herpes simplex keratitis
Facts
:
Frequent cause of corneal blindness in the US
History / PE
:
Pain, redness in the eye
Photophobia
Blurred vision, tearing
Diagnosis
:
Corneal vesicles
and
dendritic ulcers
Multi-nucleated giant cells (epithelial cell scrapings)
Treatment
:
Topical or oral antiviral therapy (eg.
acyclovir
)
Associated With
:
Excessive sun exposure
Outdoor occupation
Immunodeficiency
Differential Diagnosis
:
Fungal keratitis (multiple stromal abscesses)
Bacterial keratits (contact lens wearers)
Corneal abrasion (history of trauma, see in slit lamp)
August 1st 2010
Categories
Ophthalmology
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