The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
year-old girl came to our clinic for a second opinion. She had been treated
in the past two weeks by a private ophthalmologist for bilateral dendritic
keratitis. She applied topical acyclovir ointment five times a day but the
eyes still felt uncomfortable with foreign body sensation. Examination
revealed normal vision in both eyes. Slit-lamp examination revealed multiple
raised central stellate lesions on the surface of the cornea. There was no
signs of conjunctivitis. The history was negative for recent conjunctivitis.
The appearance suggested these to be Thygeson's keratitis. She was given
topical twice daily topical steroids which improve the discomfort. However,
some the lesions remained at the 6-week review.