Consultant Ophthalmologist,
Cataract & Refractive Surgeon

BMedSci BM BS MRCS MRCSEd MRCOpth FRCOphth MMedLaw PgD Cataract & Refractive Surgery

Dendritic Ulcers

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Vision?

Usually slightly reduced

Stickiness?

No

Laterality?

Always unilateral.

Pain?

Usually some slight pain. Often a foreign body sensation.

Visual acuity?

Usually about 6/12

Where is the redness?

Around the limbus (the junction of the sclera and cornea)

Stain on cornea?

Yes – in dendritic branching pattern. If long-standing or if the patient has inadvertently been given topical steroids, the branching patterns may coalesce and form a geographic ulcer.

Pupil?

Normal

Is the cornea clear?

Under the staining linear ulcerations, the cornea tends to be clear

Conjunctival appearance?

Normal