{"id":14999,"date":"2020-01-31T16:42:06","date_gmt":"2020-01-31T15:42:06","guid":{"rendered":"http:\/\/www.zeitzfrankozeitz.de\/?page_id=14999"},"modified":"2021-01-22T15:26:40","modified_gmt":"2021-01-22T14:26:40","slug":"case-3-presentation","status":"publish","type":"page","link":"https:\/\/www.zeitzfrankozeitz.de\/es\/e-learning\/case-3-presentation\/","title":{"rendered":"Case 3 presentation"},"content":{"rendered":"\n

contributed by<\/em><\/p>\n\n\n\n

PD Dr. Tobias Stupp, Meerbusch, Germany and Dr. Philipp Franko Zeitz, D\u00fcsseldorf, Germany<\/em><\/p>\n\n\n\n

Categories: Cornea, infections, herpetic disease, surface disorders
<\/em><\/p>\n\n\n\n

Key problem: Multiple different findings that need treatment, but the therapy for one will worsen the other
<\/em><\/p>\n\n\n\n

In contrast to other case reports, we present expert-level cases without an unambiguous solution: A case report with a solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report will train Your methods. Therefore each case highlights a specific problem expressed in the introduction.We won\u2019t offer the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing proper methods for \u201chow to proceed\u201d and You will help others to train their skills by giving them your perspective.<\/p>\n\n\n\n

Don\u00b4t be afraid to send Your opinion even if You do not feel safe. It\u2019s meant to be tough and You may stay anonymous, if You wish so.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/div>\n\n\n\n

Female, 65 years old<\/strong><\/p>\n\n\n\n

History of metastasized ovarian carcinoma with recent chemotherapy (gemcitabine, carboplatin, bevacizumab, premedication: ondansetron, aprepitant, ranitidine, dexamethasone) <\/p>\n\n\n\n

\n\n\n\n

First examination (day 1) <\/strong><\/p>\n\n\n\n

Anterior segment:<\/strong> OS herpetic keratitis with multiple dendritis ulcerations (see photo), otherwise within normal limits<\/p>\n\n\n\n

Therapy: <\/strong>Aciclovir ointment five times a day<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n
\n\n\n\n

Second examination (4th week)<\/strong><\/p>\n\n\n\n

Anterior segment:<\/strong> OS good improvement of the herpetic alterations with no more dendritic ulcerations visible, but now remarkable inhomogenous opacities in the upper cornea with dotted fluoresceine staining and a demarcation line with fluoresceine pooling at the inferior edge (see photo)<\/p>\n\n\n\n

Therapy: <\/strong>Aciclovir stopped, artificial tears every two hours<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n
\n\n\n\n

Third <\/strong>examination (12th week)<\/strong><\/p>\n\n\n\n

Anterior segment:<\/strong> OS unchanged on fluoresceine staining, but now progressive corneal vascularization (see photo)<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n
\n\n\n\n

How would You proceed at this point?<\/strong><\/p>\n\n\n\n

Send us your opinion<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

contributed by PD Dr. Tobias Stupp, Meerbusch, Germany and Dr. Philipp Franko Zeitz, D\u00fcsseldorf, Germany Categories: Cornea, infections, herpetic disease, surface disorders Key problem: Multiple different findings that need treatment, but the therapy for one will worsen the other In contrast to other case reports, we present expert-level cases without an unambiguous solution: A case […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":110,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-14999","page","type-page","status-publish","hentry"],"yoast_head":"\nCase 3 presentation • Augenarzt D\u00fcsseldorf Praxis Zeitz Franko Zeitz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zeitzfrankozeitz.de\/es\/e-learning\/case-3-presentation\/\" \/>\n<meta property=\"og:locale\" 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