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A slit lamp exam and a Pentacam® exam were performed, and the findings were correlated with each
other
(Figure 201, Figure
the incision location was edematous, with formation of small bullae on the surface. The pachymetric
map correlates with this finding. Interestingly the Scheimpflug image matches the "U shape" sign or
"camel sign" over the edematous area on the densitometry. This is caused by the high reflectivity of
the posterior layer of the cornea at the incision level.
23.6
Case 6: Corneal thinning after herpetic keratitis
by Prof. Renato Ambrósio Jr
A 68-year-old female patient entered the office with a long history of several episodes of herpes
simplex virus stromal keratitis. Careful slit lamp examination
scarring of the central cornea consistent with the "ghost scarring" known of herpes simplex virus
infections.
Figure 203: Slit lamp photo revealed sub-epithelial scarring of the central cornea
202). The central cornea was clear with no edema. The peripheral cornea at
23 Case reports from daily practice
(Figure 203)
revealed sub-epithelial
169
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