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Chapter 2 Healing of HSV Epithelial Keratitis Treated with Acyclovir Ointment and Short-Term Sequelae of the Infection |
Healing of HSV Epithelial Keratitis with Acyclovir Ointment
a |
b |
Fig. 2.10 a–b After 7 days of treatment with acyclovir ointment, the branching configuration of a classic dendritic lesion is still well discerned. (a) Before staining, the involved area shows many light-reflecting abnormal cells (arrowheads). (b) Fluorescein sodium reveals cystic spaces (black arrow) and surface elevations (bowed arrow).Abnormal cells (arrowheads) are more difficult to discern in the green-stained tear film. Diseased surface cells stain yellow (white arrow) with (adherent) fluorescein. (Arrowheads in a and b are placed in corresponding locations)
Case Report
A 66-year-old man with sixth recurrence of HSV epithelial keratitis within 5 years presented after 6 days of irritation and redness in the left eye.The temporal cornea
showed a classic dendritic figure and two small lesions close to the upper limbus (cf. drawing). He was treated with acyclovir ointment five times daily for 10 days.
Fig. 2.11 Large numbers of |
area of observation |
abnormal cells (arrowheads) |
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(close view, from Fig. 2.9) |
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