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Figure 1. A herpes simplex virus corneal dendrite is revealed by slit-lamp examination with fluorescein (upper panel) and fluorescein plus rose bengal (lower panel, high power) in a 70-year-old man who reported two days of pain and redness in his right eye. His visual acuity was minimally diminished. The lids (A) are normal; the conjunctiva (B) is injected; the diagnostic dendrite (C) results from a branching pattern of desquamation of infected corneal epithelial cells. Desquamated cornea stains with fluorescein, whereas the remaining infected epithelial cells at the margin of the dendrite stain brilliantly with rose bengal. This epithelial infection . . . [Full Text of this Article] |