Neuroparalytic keratitis

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1. Presentation by Saroj sah Neuroparalytic keratitis

2. Neuroparalytic keratitis Neuroparalytic keratitis is a degenerative disease characterized by corneal sensation reduction,spontaneous epithelium breakdown, which results in the formation of corneal ulcer. ETIOLOGY :- It is due to the 5 th nerve ( trigeminal nerve ) paralysis Herpes simplex virus I Herpes Zoster virus II Ocular and systemic disease

3. Symptoms It is painless condition due to corneal anesthesia Blurred vision Signs :- 1) Irregular Epithelium 2) scarring 3) stroma is cloudy and yellow 4) Ciliary congestion

4. Diagnostic procedure 1) corneal sensitivity 2) coreal staining 3) Schirmer test 4) Corneal scrapings and cultures Differential Diagnosis :- Dry eye Exposure keratitis Limbal stem cells deficiency Chemical injury

5. Treatment Treat the corneal ulcer Protect the eye with eye shield Artificial tears and Ointment are given to lubricate the cornea Closure of the lacrimal puncta to conserve moisture Tarsorrhaphy is indicated in this cases

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