Thygeson Superficial Punctate Keratitis

Thygeson Superficial Punctate Keratitis
SYMPTOMS Tearing | Pain | Photophobia | Foreign body sensation
SIGNS Multiple round, white-gray intraepithelial opacities
WORK-UP Thorough history. Slit lamp examination
TREATMENT Preservative-free artificial tears | Topical steroids (Pred Forte 1% or Lotemax 1 gtt qid)
FOLLOW-UP Weekly
ADDITIONAL LAB | TESTS None
ETIOLOGY Unknown. Both viral and immune-mediated mechanisms have been proposed
DIFFERENTIAL DX Recurrent corneal erosion | EBMD | Staphylococcal epithelial keratitis | Exposure keratitis
NOTES Steroids should be tapered slowly | Thygeson Superficial Punctate Keratitis is often recurrent

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