so our golden letter 'll be (s
& as HSV primary infection occur between age of 5 months to 5 years so our golden NO. 'll be( 5
1.Typical dendritic ulcers (5s)
1.shape.....linear
branching
ending in knobs
2.superficial ......never perforate
never vascularize
3.stain.....double .....Flourescene
Rose pingal
4.sensation...decrease
5.severe episodes( recurrent)
2.Atypical ( non classical ) ulcers:
1.atypical size (increase in size)....geographical or ameaboid ulcer ..... due to use of topical steroids
2. atypical depth(increase in depth)( ulcer sink)....due to secondary bacterial infection or steroids
3.atypical site ....limbic ( as it's mostly central)
4. 2 stromal lesions (2D).....Disciform keratitis....resolve without scar
Deep necrotizing keratitis...heal with.dense scarring & heavy vascularization
5.Spread of virus to uveal tract & TM.....anterior uveitis &trabeculitis
Edited by طبيبه مصريه, 02 July 2011 - 09:10 PM.




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