HERPES SIMPLEX VIRUS DISCIFORM KERATITIS

A college-aged patient came in just before final exams complaining of blurred vision in the right eye.  The eye was a little red and the vision was down to 20/40.  The cornea was swollen with subepithelial and endothelial infiltrates as shown below.  The patient has HSV disciform keratitis which requires topical steroids and oral anti-virals.  Recalcitrant or recurrent disease sometimes requires endothelial surgery to rehabilitate the cornea.  

EPIBLEPHARON

Epiblepharon occurs when the lashes turn in  even though the eyelid position is normal. It's typically seen in children and young adults of Asian descent. Affected patients have a congenital horizontal fold of skin near the lower eyelid that pushes the eyelashes toward the eyeball.  In this case, you can see the lashes scratching the surface of the cornea.