Keratitis & Corneal Ulcer
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Clinical Features
- There is eye pain, photophobia, tearing, foreign body sensations, and decreased visual acuity.
- Overlying corneal epithelial defect that stains with fluorescein may develop corneal edema, conjunctival injection, anterior chamber cells / flare, hypopyon, corneal hypoesthesia (in viral Keratitis).
- Bacterial ulcers may have purulent discharge, viral ulcers may have watery discharge.
Management
- Go for fluorescein staining if there is history of trauma / risk of cornea involvement.
- Visol gel 1 x 4 times for 2 months.
- Avoid steroids and give pure topical antibiotics like Vigamox / Oxcin eye drops 1 x 6 and Vigamox / Oxcin eye ointment at bed time.In case of corneal involvement (Corneal ulcer) add:
- Atropine eye drops 1x4 for 5 days
- Lovir /Zovirax eye ointment 1x6 for five days
- Natasan eye drops 2x6 times for 2 weeks