EyeRounds Online Atlas of Ophthalmology
Contributor: Jordan M. Graff, MD, University of Iowa
Not all cases of HSV keratitis have the large, arborating brightly staining dendrites seen in classic text-book examples. The lesions in this case of documented HSV keratitis are multiple, smaller, and with less impressive branching. However, the clinician should recognize the dendritic appearance. The overall context of the patient's clinical presentation helps to make the diagnosis (pain, photophobia, blurred vision, tearing, epithelial vessicles, decreased corneal sensation).
Flourescein staining and cobalt blue light illumination of the same lesions seen in Figure 1.
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