Atlas
Fluorescein under blue light in a patient with shingles
Slit lampadvancedA 74-year-old with a vesicular rash on the right forehead for five days now has a red, painful, photophobic eye.
Diagnosis
Herpes zoster ophthalmicus with corneal involvement
- Punctate and plaque-like fluorescein uptake on the corneal surface
- Raised mucous plaques rather than branching ulcers
- Conjunctival injection
- Lid margin vesicles at the edge of the frame