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MCQ – 84731

Question

Identify the image
A.

Disciform keratitis

B.

Geographical ulcer

C.

Dendritic ulcer 

D.

Superficial punctuate keratitis

Show Answer

Correct Answer � C

Explanation

Dendritic ulcer is the classic herpetic corneal lesion, caused by herpes simplex virus.

  • This photograph has been taken under cobalt blue filter of the slit-lamp after fluorescein staining.
  • Fluorescein staining shows an irregular zig-zag, branching corneal ulcer with terminal bulbs.
  • This is called a dendritic ulcer, typical of Herpes simplex virus.
Treatment
  • 3% acyclovir ointment (5times/day)
  • Epithelial debridement

Note:Topical Steroids are contraindicated

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