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lecture on Bacterial Keratitis ophthalmology
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Bacterial Keratitis
Risk factors Risk factors كوتكوتContact lensesContact lenses
Ocular surface disease > Herpetic kerattisOcular surface disease > Herpetic kerattisOthers > D.M.Others > D.M.
TraumaTrauma
Bacterial Keratitis
SymptomsSymptomsForeign body sensation ; photophobia ; blurred Foreign body sensation ; photophobia ; blurred
vision ; dischargevision ; discharge
Bacterial Keratitis
SignsSignsEpithelial defectEpithelial defect
Stromal edema + folds of basement membrane + Stromal edema + folds of basement membrane + anterior uveitis + small hypopyonanterior uveitis + small hypopyon
Lid and conjunctival edemaLid and conjunctival edemaLarge hypopyonLarge hypopyon
PerforationPerforationEndophthalmitisEndophthalmitis
Scleritis Scleritis ScarringScarring
Bacterial Keratitis
DdxDdxOther infectionsOther infections
Marginal and sterial inflammation due to contact Marginal and sterial inflammation due to contact lenselense
Bacterial Keratitis
TreatmentTreatmentAntibioticsAntibiotics
TopicalTopicalSubconjunctivalSubconjunctival
Oral Oral
Bacterial Keratitis
TreatmentTreatment1. Antibiotics1. Antibioticsa. Topical antibiotics ( cefuroxime + gentamicin ) a. Topical antibiotics ( cefuroxime + gentamicin ) b. Subconjunctival antibiotics indicated in poor b. Subconjunctival antibiotics indicated in poor
complaincecomplaincec. Oral antibiotics indicatinsc. Oral antibiotics indicatins1. Ulceration1. Ulceration2. Perforation2. Perforation3. Systemic manifestation3. Systemic manifestation
Bacterial Keratitis
TreatmentTreatment2. Topical Mydriatics for 2. Topical Mydriatics for 1. pain1. pain2. prevention of posterior synechiae2. prevention of posterior synechiae
Bacterial Keratitis
TreatmentTreatment3.Topical steriods ( after excluding fungal or viral 3.Topical steriods ( after excluding fungal or viral
keratitis ) for keratitis ) for 1. making the illness more comfortable1. making the illness more comfortable2. prevent rejection of corneal graft2. prevent rejection of corneal graft
Bacterial Keratitis
Failure of RxFailure of RxWrong DxWrong DxWrong RxWrong Rx
Gram – ulcersGram – ulcersDrug toxicityDrug toxicity