Game 13

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You patient presents with:

- Photophobia

- Tearing

- Slight pain

- Blurry vision

- Has some uveitis and anterior chamber reactions

- Affected eye has vision of 6/15

You patient previously was diagnosed with HSV Epithelial Keratitis.

- It was treated with topical corticosteroids

- It had subsided years ago

- They are a bit frustrated that this eye issue is occurring during the busiest time of uni, as they prepare for exams and finish exams

HSV Disciform Endotheliitis Keratitis

- Characterised by a stromal haze and oedema with potential Wessely rings

- Differential diagnosis against Acanthamoeba

- Damage to endothelial pumps mean there will be greater oedema, leading to pain.

- Will have anterior chamber reactions due to involvement of endothelium.

- Prevalent in recurrent HSV attacks, and is usually less severe than other HSV induced endotheliitis