case_images: PMC5264429_01
case_images: Slit-lamp photographs at the initial clinical evaluation. a, b Slit-lamp photographs of the upper tarsal conjunctiva of the right (a) and left (b) eyes. The palpebral conjunctiva have a velvety appearance. c A shield ulcer is present in the upper-central cornea. Corneal opacification with a coral-like appearance (arrow) is present at 4-6o'clock in the marginal zone of the shield ulcer. d The shield ulcer shows positive staining with fluorescein dye
case_images: 13223_2017_178_Fig1_HTML.jpg
case_images: PMC5264429_01_13223_2017_178_Fig1_HTML.jpg
case_images: Fig1
case_images: The conjunctiva of both eyes had a velvety appearance caused by papillary proliferation, and conjunctival hyperemia and swelling were present in the superior tarsal area (Fig. 1a, b). There was a shield ulcer in the upper-central cornea of the left eye, and the marginal zone of the ulcer had a coral-like appearance due to white stromal opacification (Fig. 1c). The ulcer showed positive staining with fluorescein dye (Fig. 1d).
case_images: Slit-lamp photographs of the corneal ulcer 2 and 7 days after the initial examination. Corneal opacification with a coral-like appearance shows gradual improvement and has resolved on day 7. a Slit-lamp photographs of the corneal ulcer at day 2. b Slit-lamp photographs of the corneal ulcer at day7
case_images: 13223_2017_178_Fig2_HTML.jpg
case_images: PMC5264429_01_13223_2017_178_Fig2_HTML.jpg
case_images: Fig2
case_images: With these treatments, corneal stromal opacity and the coral-like appearance gradually improved and resolved within 7 days (Fig. 2a, b). 