Unveiling geographic conjunctival ulcer: a rare clinical presentation of herpetic eye disease

被引:0
|
作者
Sahay, Pranita [1 ]
Tomar, Vaishali [1 ]
Verma, Purva [1 ]
Dadeya, Subhash [1 ]
机构
[1] Maulana Azad Med Coll, Guru Nanak Eye Ctr, New Delhi, India
关键词
Ophthalmology; Anterior chamber; PATIENT;
D O I
10.1136/bcr-2024-263113
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A male patient in his 50s presented with a history of sudden onset redness and pain in the right eye for 15 days. He was under prescription of topical antibiotics, steroids and lubricants by the primary treating ophthalmologist for 2 weeks with reported worsening of symptoms. He was noted to have a visual acuity of 20/32 and 20/20 in the right and left eye, respectively. Clinical examination revealed diffuse conjunctival congestion and a focal area of conjunctival blanching which on fluorescein staining showed multiple geographic conjunctival ulcers. Rose Bengal staining revealed a fine corneal dendrite at the superior limbus. A conjunctival scraping sample was sent for microbiology workup and the patient was started on topical and systemic acyclovir with a presumed diagnosis of herpetic keratoconjunctivitis. On follow-up, the Herpes simplex virus PCR test was noted to be positive. Good clinical response was noted with complete healing of ulcer by the third day of treatment.
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页数:4
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