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Ophthalmology Diseases of Cornea 37479a1d

A diagnosis of fungal corneal ulcer is not made if there is presence of

A
Marked photophobia and pain compared to signs
B
Sloughing corneal ulcer
C
Fixed hypopyon
D
Presence of hyphae on KOH mount
High-Yield Explanation
Symptoms of fungal corneal ulcer are similar to central bacterial corneal ulcer , but in general, they are less marked than the equal-sized bacterial ulcer and the overall course is slow and torpid. Signs are more prominent than symptoms. Corneal ulcer is greyish white, dry-looking with elevated rolled out margins. Delicate feathery finger-like extensions are present into the surrounding strorna under the intact epitheliium. Hypopyon usually a big one is present even if the ulcer is very small. Unlike bacterial ulcer, the hypopyon not sterile as the fungi can penetrate into the anterior chamber without perforation.

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