What is causing the corneal ulcer Management strategies for unresponsive corneal ulceration

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Infectious keratitis represents a significant cause of ocular morbidity in the United States. The work-up and treatment of presumed infectious keratitis (PIK) has changed in the past two decades. The development of newer topical antibiotics has enabled broad-spectrum antibiotic coverage with good tissue penetration. The majority of PIK cases respond well to this strategy. The small numbers of cases that do not respond to the treatment are the cases that offer a diagnostic and therapeutic challenge. This review will describe different algorithms that can be followed for the successful management of patients with difficult or progressive PIK. These algorithms are based on scientific work and on our empirical clinical experience. The review will also present three different clinical cases of PIK that were managed according to the algorithms presented in this review.

Original languageEnglish (US)
Pages (from-to)228-236
Number of pages9
JournalEye
Volume26
Issue number2
DOIs
StatePublished - Feb 2012

Keywords

  • approach to corneal ulcers
  • corneal ulcer
  • infectious keratatis treatment

ASJC Scopus subject areas

  • Ophthalmology

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