This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Ophthalmology
Topical antiviral drugs not indicated in : 
Select and explain. 
A. Dendritic ulcer, B. Met herpetic ulcer, C. Stromal necrotizing keratitis, D. All
B: Met herpetic ulcer
Answer: B: Met herpetic ulcer 
Explanation: B i.e. Metaherpetic keratitis Metaherpetic keratitis (Epithelial sterile trophic ulceration) is not an active viral disease but a mechanical healing problem and its has got no role of topical antiviral and steroid Q (treated by aificial tear, soft contact lens & tarsorrhaphy) Neuroparalytic (exposure) keratitis is the result of improper wetting of the ocular surface by the tear film because of inability to close the eyes (e.g. Bell's palsy etc.). It is treated by lubricants (aificial tears), soft contact lens & tarsorrhaphy.