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    15corneal Infections

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    khadzx
    This document summarizes various types of corneal infections: 1) Bacterial keratitis caused by contact lens wear or eye surface disease, treated with topical antibiotics. 2) Fungal keratitis often preceded by trauma, treated with antifungals or surgery. 3) Acanthamoeba keratitis risks contact lens wearers and causes small infiltrates treated with chlorhexidine or polyhexamethylenebiguanide. 4) Infectious crystalline keratitis is rare and associated with steroids, treated with antibiotics. 5) Herpes simplex keratitis comes as epithelial dendritic ulcers or disciform edema treated with antivirals or steroids. 6) Herpes zoster keratitis causes acute epithelial

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    15corneal Infections

    Uploaded by

    khadzx
    47 views8 pages
    This document summarizes various types of corneal infections: 1) Bacterial keratitis caused by contact lens wear or eye surface disease, treated with topical antibiotics. 2) Fungal keratitis often preceded by trauma, treated with antifungals or surgery. 3) Acanthamoeba keratitis risks contact lens wearers and causes small infiltrates treated with chlorhexidine or polyhexamethylenebiguanide. 4) Infectious crystalline keratitis is rare and associated with steroids, treated with antibiotics. 5) Herpes simplex keratitis comes as epithelial dendritic ulcers or disciform edema treated with antivirals or steroids. 6) Herpes zoster keratitis causes acute epithelial

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    15Corneal Infections

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    This document summarizes various types of corneal infections: 1) Bacterial keratitis caused by contact lens wear or eye surface disease, treated with topical antibiotics. 2) Fungal keratitis often preceded by trauma, treated with antifungals or surgery. 3) Acanthamoeba keratitis risks contact lens wearers and causes small infiltrates treated with chlorhexidine or polyhexamethylenebiguanide. 4) Infectious crystalline keratitis is rare and associated with steroids, treated with antibiotics. 5) Herpes simplex keratitis comes as epithelial dendritic ulcers or disciform edema treated with antivirals or steroids. 6) Herpes zoster keratitis causes acute epithelial

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    47 views8 pages

    15corneal Infections

    Uploaded by

    khadzx
    This document summarizes various types of corneal infections: 1) Bacterial keratitis caused by contact lens wear or eye surface disease, treated with topical antibiotics. 2) Fungal keratitis often preceded by trauma, treated with antifungals or surgery. 3) Acanthamoeba keratitis risks contact lens wearers and causes small infiltrates treated with chlorhexidine or polyhexamethylenebiguanide. 4) Infectious crystalline keratitis is rare and associated with steroids, treated with antibiotics. 5) Herpes simplex keratitis comes as epithelial dendritic ulcers or disciform edema treated with antivirals or steroids. 6) Herpes zoster keratitis causes acute epithelial

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 8

    CORNEAL INFECTIONS

    1. Bacterial keratitis

    2. Fungal keratitis

    3. Acanthamoeba keratitis

    4. Infectious crystalline keratitis

    5. Herpes simplex keratitis


    -Epithelial
    -Disciform
    6. Herpes zoster keratitis
    Bacterial keratitis
    Predisposing factors
    • Contact lens wear
    • Chronic ocular surface disease
    • Corneal hypoaesthesia

    Expanding oval, yellow-white, Stromal suppuration and


    dense stromal infiltrate hypopyon

    Treatment - topical ciprofloxacin 0.3% or ofloxacin 0.3%


    Fungal keratitis
    Frequently preceded by ocular trauma with organic matter

    Greyish-white ulcer which may be Slow progression and occasionally


    surrounded by feathery infiltrates hypopyon
    Treatment
    • Topical antifungal agents
    • Systemic therapy if severe
    • Penetrating keratoplasty if unresponsive
    Acanthamoeba keratitis
    • Contact lens wearers at particular risk
    • Symptoms worse than signs

    Small, patchy anterior Perineural infiltrates


    stromal infiltrates (radial keratoneuritis)

    Ulceration, ring abscess Stromal opacification


    & small, satellite lesions

    Treatment - chlorhexidine or polyhexamethylenebiguanide


    Infectious crystalline keratitis
    • Very rare, indolent infection (Strep. viridans)
    • Usually associated with long-term topical steroid use
    • Particularly following penetrating keratoplasty

    White, branching, anterior stromal crystalline deposits

    Treatment - topical antibiotics


    Herpes simplex epithelial keratitis

    • Dendritic ulcer with terminal bulbs • May enlarge to become geographic


    • Stains with fluorescein

    Treatment
    • Aciclovir 3% ointment x 5 daily
    • Trifluorothymidine 1% drops 2-hourly
    • Debridement if non-compliant
    Herpes simplex disciform keratitis
    Signs Associations

    • Central epithelial and stromal oedema • Occasionally surrounded by


    • Folds in Descemet membrane Wessely ring
    • Small keratic precipitates

    Treatment - topical steroids with antiviral cover


    Herpes zoster keratitis
    Acute epithelial keratitis Nummular keratitis

    • Develops in about 50% within • Develops in about 30% within


    2 days of rash 10 days of rash
    • Small, fine, dendritic or stellate • Multiple, fine, granular deposits
    epithelial lesions just beneath Bowman membrane
    • Tapered ends without bulbs • Halo of stromal haze
    • Resolves within a few days • May become chronic

    Treatment - topical steroids, if appropriate

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