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A 22-year-old woman with no significant past medical history presents with right eye pain, blurry vision, and watery discharge. She had an uncomplicated urinary tract infection for which she has been receiving TMP-SMX. She denies any problems with her left eye. On physical examination, both pupils are equal, round, and reactive to light and accommodation. Intraocular pressure is normal and equal bilaterally. Visual fields are full. However, visual acuity in the right eye is 20/60 compared to 20/20 in the left eye. Slit lamp exam of the left eye reveals the following seen in Figure A. Which of the following is true?
The treatment is with glucocorticoid drops and the diagnosis is Map-Dot-Fingerprint dystrophy
Laboratory and serologic testing should be used to confirm the diagnosis
The patient should be admitted for intravenous antibiotics
The diagnosis is Stevens-Johnson syndrome and the offending drug should be stopped
The patient may be treated with oral acyclovir
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