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BRIEF COMMUNICATION
Year : 2010  |  Volume : 58  |  Issue : 1  |  Page : 64-66

Coin-shaped epithelial lesions following an acute attack of erythema multiforme minor with confocal microscopy findings


Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center, Bangalore, India

Correspondence Address:
Kalpana Babu
Prabha Eye Clinic & Research Centre, 504, 40th cross, Jayanagar 8th block, Bangalore - 560 070
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.58475

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We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of three days duration. He was diagnosed to have EM minor and was on oral acyclovir. Slit-lamp examination revealed multiple coin-shaped epithelial lesions. Confocal microscopy showed a corresponding conglomerate of hyper-reflective epithelial lesions. The corneal lesions resolved over six weeks with oral steroids and acyclovir. An immunological mechanism is suspected.


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