HZV KERATITIS

This patient was complaining of extreme pain in and around the eye. HZV usually doesn't affect the cornea but this patient had primary corneal HZV.  We were able to catch it really early and get her on the anti-virals very quickly to prevent worsening or lengthening of the manifestations of the disease.  Usually HSV does not cause much pain.  There were also some iritis associated with this so steroids were added as soon as possible along with the antivirals with success, but this has to be monitored extremely closely. 

DIFFUSE CORNEAL SUBEPITHELIAL INFILTRATE

This is a patient complaining about red watery eyes, one eye worse than the other. This photo shows diffuse subepithelial infiltrate associated with punctate staining at each point.  The other eye was only about a third as bad.  This is adenoviral keratoconjunctivitis. 

CHOROIDAL NEVUS

CENTRAL SEROUS RETINOPATHY

Central Serous Retinopathy (CSR) occurs when there's serous leakage from the blood-vessel-filled choroid layer of the eye in the space under the retina.  This patient's vision was brought from 20/20 in April to 20/40 in August.  CSR recovers usually resolves and the vision recovers within a few months, however it is not unusual to have some remaining small deficit in vision.  It usually occurs in one eye only but may occur in both, and it may recur.