The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Thygeson's keratitis

Photo by Professor Chua Chung Nen

This 16 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.

 

Right corneal lesions.

 

Left corneal lesions.

 

Close-up view of the right cornea.

 

An even closer view of the right corneal lesions.

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