|This is a potentially
sight threatening condition. Avoid using steroid if corneal infection can
not be excluded as steroid can worsen the infection.
Painful red eye
There may be a history of contact lens
use or previous herpes keratitis.
The visual acuity is reduced
Fluorescein dye reveals corneal defect
In severe bacterial infection, there
may be hypopyon (pus in the anterior chamber)
Refers within 24 hours
In herpes keratitis, topical acyclovir
3% five times a day is prescribed for one week
In bacterial corneal ulcer, the patient
may be admitted for intensive antibiotic treatment
if severe or treated as an out-patient
This patient suffers from herpetic
keratitis. . Fluorescein staining reveals
a dendritic ulcer typical of herpes
keratitis. This is treated with topical
This woman presented with a one
day history of severe right ocular pain.
She used extended contact lenses
and was not complying with the cleaning
instruction. The picture shows a
corneal ulcer with hypopyon. She was
admitted for intensive antibiotics.
Culture of the ulcer grew Psuedomonas
aeruginosa. The infection
responded to combined intensive gentamicin and
to the red eyes