Cornea

Corneal Ulcer

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Corneal Ulcer

  • Causes
  1. Bacteria
    1. Pseudomonas (esp. Soft Contact Lenses worn overnight)
  2. Fungus
  • Symptoms
  1. Severe Eye Pain
  2. Decreased Visual Acuity
  • Signs
  1. Infiltrate (White Spot) on Cornea
    1. Seen without Fluorescein
  2. Overlying Corneal Epithelial Disruption
  3. Iritis
  4. Hypopyon
  • Labs
  1. Culture discharge
  • Management
  1. Urgent Ophthalmology referral
  2. Topical Antibiotics - broad spectrum around the clock
    1. Tobramycin
    2. Gentamicin
    3. Norfloxacin
    4. Ciprofloxacin
  3. Cycloplegic
    1. Homatropine 5% tid
    2. Atropine 1% bid