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Ophthalmology General 74cdc496

Steroid is contraindicated in –

A
Herpes keratitis
B
Atropic dermatitis
C
Fungal corneal ulcer
D
Exposure keratitis
High-Yield Explanation
here: -Topical corticosteroids enhance fungal replication and corneal invasion and therefore, contraindicated in a fungal corneal ulcer. Now, option 'a' requires specific mention here:- Topical corticosteroids are contraindicated in herpetic keratitis. But not in all forms of herpetic keratitis :- Epithelial herpetic keratitis (Dendritic ulcer, geographic ulcer) → Topicla corticosteroids are contraindicated. Stromal keratitis (Disciform & Diffuse necrotic) → Topical corticosteroids along with topical antiviral drugs are used as the first line of treatment. So, my opinion for this type of question is that :- i) If herpetic keratitis has given as the option, then look at other options. If any of the other options is a clear cut contraindication for corticosteroid (e.g. fungal corneal ulcer in this question), consider that option as your answer. If no ther option is a contraindication for topical corticosteroid, consider herpetic keratitis as the answer. ii) If examiner has specifically mentioned dendritic ulcer as an option, consider it as the answer.

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