Red Eye - Case 9

A 33 year old mother came to your office complaining that her eye has been painful, light sensitive, and tearing ever since her baby poked her in the eye with his finger.

To properly examine the eye, you had to instill a drop of topical anesthetic (proparacaine 0.5%) because of blepharospasm.  Visual acuity was 20/20 OU.  Visual fields, pupil exam, extraocular movements, and funduscopic exam were all normal.  External exam with fluoroscein is shown below.

Case 9

What is your diagnosis?

Herpes simplex keratitis
Corneal abrasion
Corneal ulcer
Further testing is required