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What is Drug contraindicated in dendritic keratitis is: March 2012 and explain in detail?
Ans: D i.e. Dexamethasone The corneal involvement in herpes simplex virus infection can be epithelial (dendritic/ geographic keratitis), stromal (necrotizing & non-necrotizing stromal keratitis) & endothelial Drugs & epithelial keratitis Epithelial keratitis responds well to topical antivirals (5% IDU/ idoxuridine drops) which are prescribed along with topical antibiotics to prevent secondary bacterial infection, lubricants to relieve discomfo & cycloplegics It is uniformly accepted that topical steroids are contraindicated in the presence of active viral replication as occurs in herpes simplex epithelial keratitis