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Image: Western Ophthalmics

The patient demonstrated significant reduction of corneal sensitivity in both eyes, with sensitivity in the left eye reduced to near zero.

Based on the patient’s history and examination findings, what do you think my principal diagnosis was?

a. Chronic epithelial defect associated with her severe dry eye disease
b. Herpetic epithelial keratitis
c. Neurotrophic keratitis
d. Toxic ulcerative keratoconjunctivitis
Paul Karpecki, OD, FAAO

Paul Karpecki, OD, FAAO, works in Corneal Services and is clinical research director at the Koffler Vision Group in Lexington, KY. He is a consultant for Bausch + Lomb and Bio-Tissue Inc.

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