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Herpes Simplex Virus Epithelial Keratitis: In Vivo Morphology in the Human Cornea

Autor Helena M. Tabery
en Limba Engleză Paperback – 13 noi 2009
As a young ophthalmologist, I found corneal epithelial diseases a subject diffcult to grasp. One day, it occurred to me that the reason might be a lack of images showing the nature of the components of the changes visible with the slit lamp. With the slit lamp, the inevitable eye movements that blur the image limited the magnifcation level, but perhaps photography might be the answer. It was not a short journey, but in the end the idea proved right. By trial and error, the quality of the images improved, and after some time, I found that the resolution allowed reasonable comparisons with available images of histological preparations. Such comparisons allowed better und- standing of the substructures of epithelial in vivo lesions and, in conjunction with their in vivo dynamic features, eventually an understanding of at least some mechanisms behind them. This book, originating from over 20 years of experience with observations of ocular surface changes at high magnifcation level, covers several aspects of corneal epithelial lesions caused in humans by herpes simplex virus: various shapes of the lesions, their substructure and mechanisms behind them; morphological features of the healing p- cess, sequelae, complications, and some accompanying signs; and some rare cases. For those less familiar with the slit lamp image, I have added explanatory drawings to facilitate comprehension.
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Specificații

ISBN-13: 9783642010118
ISBN-10: 3642010113
Pagini: 72
Ilustrații: XIV, 58 p. 72 illus. in color.
Dimensiuni: 193 x 260 x 4 mm
Greutate: 0.25 kg
Ediția:2010
Editura: Springer Berlin, Heidelberg
Colecția Springer
Locul publicării:Berlin, Heidelberg, Germany

Public țintă

Professional/practitioner

Cuprins

Preface.- About Epithelial Keratitis.- About Herpes Simplex Virus (HSV) Epithelial Keratitis.- The Morphology of Herpes Simplex Virus Epithelial Keratitis.- HSV Cytopathic Effect - Early Changes.- HSV Cytopathic Effect - Advanced Changes.- Early HSV in Vivo Lesions - Surface Elevation and Disruption.- An Advanced HSV in Vivo Lesion - Loss of Substance.- HSV Lesions - Surface Elevation, Depression, and Fluid Diffusion.- Rose Bengal Dye Staining of HSV Lesions.- A HSV Dendritic Figure (1).- A HSV Dendritic Figure (2).- The Origin of HSV Dendritic Figures.- Various Shapes of HSV Dendritic Figures.- Some Other Shapes of HSV Lesions.- Precursors of HSV Geographic Lesions.- HSV Geographic Lesions.- A Case of Primary HSV Keratitis.-Healing of Herpes Simplex Virus Epithelial Keratitis Treated with Acyclovir Ointment, and Short-term Sequelae of the Infection.- Healing of HSV Epithelial Keratitis with Acyclovir Ointment .- Healing of HSV Epithelial Keratitis with Acyclovir Ointment. A treatment failure.- Side Effects of Acyclovir Ointment.- Complications, Accompanying Signs, Recurrences, and Long-term Sequelae of Herpes Simplex.-Virus Epithelial Keratitis.- Case 1. HSV Epithelial Keratitis - a Fresh and an Older Lesion.- Healing Followed by Epithelial Breakdown, and a New Repair (Case 1, cont.).- Case 2. Healing of HSV Epithelial Keratitis, Accompanying Signs, and Sequelae.- Case 3. HSV Epithelial Keratitis and Stromal Infiltrates.- Case 4. HSV Epithelial Keratitis Preceded by Anterior Uveitis and Disciform Keratitis.- HSV Epithelial Keratitis and Dry Eye (Case 4, cont.).- Case 5. Recurrent HSV Epithelial Keratitis in a Patient with Dry Eye.-Bibliography.- Index

Textul de pe ultima copertă

Herpes Simplex Virus Epithelial Keratitis provides a kind of ‘living histology’, revealing both morphological and dynamic features of the disease, and explaining the mechanisms behind them. 

It discusses in detail:
° the result of herpes simplex virus impact on the living human epithelium
° the step-by-step dynamics of healing during a successful treatment
° the complications and sequelae of infection
The case studies presented demonstrate the application of these observations in clinical practice. This unique guide offers insights helpful in differential diagnostics and the recognition of lesser known variants, as well as complications. It is also useful for the follow–up of treatment results and the differentiation between an active infection and sequelae. It is an invaluable aid for ophthalmologists and researchers working with ocular surfaces.

Caracteristici

An invaluable aid in differential diagnostics, in recognition of less known variants, and of complications, follow–up of treatment results, differentiation between an active infection and sequelae for those working with ocular surface diseases For those interested for theoretical reasons - the corneal epithelium is the only part of the body in which the impact of the virus on living human cells in situ can be observed Includes supplementary material: sn.pub/extras