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Game 12
solve
in
1
Solve
in
2
Patient presents to your clinic again just after he had staphylococcus aureus bacterial keratitis.
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It seems like their keratitis had settled, yet now they present with new ulcers. Evident from the image, rather than central or paracentral it is now peripheral.
Solve
in
3
Describe the symptoms?
- Photophobia, tearing, irritation
- VA not greatly affected
- Is bilateral
Last
chance
You send your patient off without treatment.
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They recovers in 1-2 weeks time.
The
answer
Marginal Keratitis
- 3 lesions present at the 5-7 o'clock region
- The lesions are fairly parallel with the limbus
- There is a gap between the limbus and lesion
- Localised hyperemia at the 4-8 o'clock conjunctiva
- May be due to hypersensitivity of s.aureus or second to blepharitis
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