Your patient complains of mild discomfort, photophobia, and blurred vision in her right eye, which you suspect are caused by corneal ulceration caused by the herpes simplex virus. Your suspicion is based on your findings of
a. a grayish, well-circumscribed ulcerated area on the cornea.
b. a treelike configuration on the corneal surface.
c. a 2 mm-wide hazy gray ring just inside the limbus.
d. multiple tiny fluid-filled sacs on the cornea.
B
A treelike configuration on the corneal surface with symptoms of mild discomfort, photophobia, and blurred vision is a description of a corneal ulceration commonly caused by the herpes simplex virus. A grayish, well-circumscribed ulcerated area on the cornea most commonly results from a bacterial invasion. A 2 mm-wide hazy gray ring just inside the limbus describes arcus senilis which is a bilateral, benign degeneration of the peripheral cornea. It is most common in older individuals.
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