Download Color Atlas of Herpetic Eye Diseases: A Practical Guide to by Hartmut Hengel (auth.), Rainer Sundmacher (eds.) PDF

By Hartmut Hengel (auth.), Rainer Sundmacher (eds.)

This ‘cooking booklet’ - atlas for Herpetic Eye sickness helps the reader to discover a greater realizing for this eye illness. The content material of this atlas relies on approximately 4 many years of sensible and medical paintings and adventure with follow-ups in millions of herpes sufferers.

Depending on one’s person nation of data during this box one may well find the answer by way of quick checking the photographs and evaluating it with the particular patient’s photo. The picture-associated textual content courses the reader with its headings Description, Pathophysiology, Differential prognosis, healing rules to the main applicable administration of and absolute best therapy consequence for those sufferers.

Thus, the homogenous and well-structured content material and index make it effortless for the reader to discover the mandatory details quickly and won't simply helps newcomers but in addition specialists within the box of ophthalmology.

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29 Inflammatory injection of the conjunctiva may be so suppressed by steroids that development of HSV dendritic keratitis and its insidious enlargement to geographic keratitis passes unnoticed by the patient until his vision becomes affected. This is especially dangerous, if the patient has never experienced herpetic disease before and is unaware of this risk. A major threat comes from steroid treated monosymptomatic HSV conjunctivitis (Fig. 29) for which no reliable clinical differential diagnosis exists.

Epithelial HSV Keratitis Fig. 26 Recurrent HSV stellate keratitis (fluorescein short-term staining) Therapy: If steroids can be totally withdrawn from this patient, topical antiviral therapy (ACV or TFT 5 qd) will suffice. If steroids have to be continued, however, a combined topical plus systemic antiviral therapy (ACV 400 mg 5 qd) is necessary to inhibit progression to geographic types of herpes keratitis. 28 Clinic: Large branching efflorescence extending from the limbal area towards the corneal center (Fig.

35 Differential diagnosis: Pseudodendrite in Sjögrens syndrome (Bengal rose) Fig. 38 Map-dot-fingerprint (mdf ) dystrophies such as that in Fig. 38 are often mistaken for HSV dendritic keratitis. Admittedly, biomicroscopic findings in various stages of mdf dystrophies share some similarities with HSV dendritic keratitis, but too little to explain this frequent confusion. The main reason is certainly the chronically recurrent nature of these epithelial dystrophies. 38 will quickly reveal that no borderlines with epithelial micro-destruction pattern are present, as in HSV epithelial disease.

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