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HERPES SIMPLEX DENDRITIC ULCER

HERPES SIMPLEX DENDRITIC ULCER. Prepared by: Nutrimala Nadia Nasip Ulfa Nur Izzati Abd . Wahid Deena Khairiah Baharuddin Siti Nur Hazwanti Hamzah Ophthalmology department 4 th year Zagazig University. INTRODUCTION.

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HERPES SIMPLEX DENDRITIC ULCER

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  1. HERPES SIMPLEX DENDRITIC ULCER Preparedby: Nutrimala Nadia Nasip UlfaNurIzzatiAbd. Wahid Deena KhairiahBaharuddin SitiNurHazwantiHamzah Ophthalmology department 4th year Zagazig University

  2. INTRODUCTION • It is a primary, superficial, infective ulcer having a dendritic shape caused by Herpes Simplex Virus (epitheliotropic type).

  3. Dendritic ulcer stained with fluorescin

  4. Herpes Simplex virus

  5. PATHOPHYSIOLOGY

  6. PREDISPOSING FACTORS

  7. Close-up view of early herpes outbreak shows small, grouped blisters (vesicles) and lots of inflammation (erythema).

  8. FREQUENCY • HSV infection is ubiquitous, with an estimated one third of the population worldwide suffering from recurrent infections.

  9. CLINICAL ASPECTS OF DENDRITIC ULCER

  10. HISTORY • Patients with HSV keratitis may complain of the following: • Pain • Photophobia • Poor vision • Profuse lacrimation • Blepharospasm

  11. SIGNS • Corneal stromal inflammation • Infectious epithelial keratitis

  12. Endothelitis • Blepharo-conjunctivitis

  13. DIAGNOSIS

  14. Dendritic ulcer stained with fluorescin

  15. Dendritic ulcer stained with Rose Bengal

  16. COMPLICATIONS

  17. DIFFERENTIAL DIAGNOSIS

  18. TREATMENT

  19. Thank You

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