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

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

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Viral keratitis

Photo by Dr. Ngo Chek Tung

This 17 year-old man complained of a one-week history of right blurred vision. Prior to this, he had had 10-year of right red eye with watery dicharge. The vision was 6/24 and slit-lamp examination revealed multiple supepithelial round opacities with infiltrate. The history suggested that this might be adenoviral keratitis, he was started on topical betamethasone q.d.s. At the same time, he was covered with topical 3% acyclovir in case this was atypical herpetic keratitis. The vision improved to 6/9 after one week. Betamethasone was reduced to b.d. and the acyclovir was discontinued.

 

Corneal appearance at presentation.

 

Another view of the cornea at presentation.

 

Appearance of the cornea 2 weeks post-treatment.

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