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Tuesday, April 23, 2019

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.  


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