Galaxy of Dots!

𝐒𝐮𝐩𝐞𝐫𝐟𝐢𝐜𝐢𝐚𝐥 𝐩𝐮𝐧𝐜𝐭𝐚𝐭𝐞 𝐊𝐞𝐫𝐚𝐭𝐢𝐭𝐢𝐬⁣ ⁣ Multiple, small discrete lesions of the cornea - Affect epithelial and subepithelial layers⁣



⁣ 𝐂𝐚𝐮𝐬𝐞𝐬 based on distribution of lesions in the cornea:⁣ ⁣ ● Generalized - Acute conjunctivitis, Toxic conjunctivitis, Vernal conjunctivitis⁣ ⁣ ● Central- Adenoviral conjunctivitis, Thygeson’s, CL overwear⁣ ⁣ ● Upper 1⁄3 - Inclusion Conjunctivitis, Superior limbic Keratoconjunctivitis⁣ ⁣ ● Lower 1⁄3 - Staphylococcus disease, Exposure keratitis, Entropion⁣ ⁣ ● Lower 2⁄3- Dry eye, Exposure keratitis, Neurotrophic keratitis⁣ ⁣ ● Zonular- Herpes⁣ ⁣ ● Paralimbal- Adjacent to pterygium/ any other conjunctival lesion⁣ ⁣ ● Linear streak- Tarsal foreign body⁣ ⁣ 𝐓𝐲𝐩𝐞𝐬:⁣ ● Superficial punctate epithelial erosions - Slightly depressed spots - visible only after staining with fluorescein⁣ ⁣ ● Superficial punctate epithelial keratitis- Greyish white opacities - visible without fluorescein staining, stains poorly with fluorescein and stain well with rose bengal⁣ ⁣ ● Combined epithelial and subepithelial punctate keratitis⁣ ⁣ Look for associated ocular changes:⁣ 1. Conjunctival changes⁣ 2. Eyelid lesions⁣ 3. Limbal changes⁣ 4. Abnormal tear function⁣

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