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Answers: 2005 Series -  June 14, 2005 Lecture 29 of 52  NEXT»

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A 28-year-old female complains of severe eye pain (left eye) and decreased vision (20/50).  She denies any trauma, sick contacts, or recent illness.

1.  The most like organism causing this presentation is:   
 

b -- viral


2.  The most appropriate treatment is:  
 

c -- topical trifluridine

  • This case demonstrates herpes simplex virus corneal dendrites seen both in the clinical picture and after staining with fluorescein. 
  • Topical steroids would be contraindicated and antiviral agents should be started immediately. 
  • Dendritic corneal lesions can also be seen with tyrosinemia, Epstein-Barr virus, healing epithelial defects, and zoster infections.


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