EyeRounds Photo Quiz #3
Compiled by Tyler Risma, MD
Q21: What process is causing the corneal opacity in this patient with history of herpes zoster ophthalmicus and what are potential treatments?
A21: Lipid Keratopathy. Lipid keratopathy is characterized by cream-colored lipid deposits in areas of vascularized stromal scars, usually secondary to HSV, VZV, or trachoma. Potential treatment options are topical steroids, argon laser, and subconjunctival bevacizumab to reduce neovascularization and lipid deposition.