Keratitis & Corneal Ulcer

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