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January 2013

Demystifying the Ocular Herpes Simplex Virus

Many challenges surround HSV ocular disease—from establishing the diagnosis to preventing recurrence.

In January's Feature, three experts dispel the myths and share tips to identify, classify, and tackle the disease.

Multimedia Extra: Feature Story

Herpes simplex virus is the most common cause of infectious corneal blindness in the U.S. In "Demystifying the Ocular Herpes Simplex Virus," EyeNet asked experts to share their advice on diagnosing and managing this dangerous masquerader.

The slide show above presents various manifestations of HSV keratitis, a sight-threatening, but sometimes difficult to diagnose, condition.

(All images provided courtesy of Sonal S. Tuli, MD.)

January 2013 Blink
Morning Rounds

The Lawyer Who Couldn't Outrun Trouble

The patient had intermittent headaches and blurred vision whenever she ran. When she visited her optometrist, she anticipated that it would just be a routine examination for eyeglasses. But things took a turn for the worse when the optometrist found that the 31-year-old attorney's IOP was 28 mmHg in her right eye and 26 mmHg in her left.

What's your diagnosis?

January 2013 Morning Rounds

Off-Label Drug Use: Is Regulation Internationally Contagious?

I recently attended a talk on stem cell therapy in ocular diseases. With the appropriate growth factors and gene regulators, skin fibroblasts or blood cells can become retinal pigment epithelial cells, photoreceptors, and ganglion cells.

Modulatory drugs are needed, and they may well come from the vast library of approved drugs. If they cannot be used off label for this research, human trials will be set back years to decades. Let’s hope the recent French regulation of off-label prescribing isn’t contagious.

January 2013 Opinion

We welcome letters on all issues raised in EyeNet, and on ophthalmology generally.

Share your thoughts with your colleagues by sending a letter to eyenet@aao.org.


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