How are the dendritic ulcers of infectious epithelial keratitis characterized?

Updated: Jan 18, 2019
  • Author: Jim C Wang (王崇安), MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

This is the most common presentation of HSV keratitis. Prominent features of a dendritic ulcer include a linear branching pattern within the corneal epithelium with terminal bulbs, swollen epithelial borders that contain live viruses, and central ulceration through the basement membrane. (See the images below.)

Herpes simplex virus dendritic ulcer. Herpes simplex virus dendritic ulcer.
Herpes simplex virus dendritic ulcer stained with Herpes simplex virus dendritic ulcer stained with fluorescein.
Large paracentral herpes simplex virus dendritic c Large paracentral herpes simplex virus dendritic corneal ulcer.
Recurrent herpes simplex virus dendritic ulcer sta Recurrent herpes simplex virus dendritic ulcer stained with rose bengal, with an adjacent stromal scar.
Healing herpes simplex virus dendritic ulcer stain Healing herpes simplex virus dendritic ulcer stained with fluorescein.

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