Ophthalmology Book

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Corneal Ulcer

Aka: Corneal Ulcer
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  1. Causes
    1. Bacteria
      1. Pseudomonas (esp. Soft contact lenses worn overnight)
    2. Fungus
  2. Symptoms
    1. Severe Eye Pain
    2. Decreased Visual Acuity
  3. Signs
    1. Infiltrate (White Spot) on Cornea
      1. Seen without Fluorescein
    2. Overlying Corneal Epithelial Disruption
    3. Iritis
    4. Hypopyon
  4. Labs
    1. Culture discharge
  5. 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

Corneal Ulcer (C0010043)

Definition (NCI) A disorder characterized by an area of epithelial tissue loss on the surface of the cornea. It is associated with inflammatory cells in the cornea and anterior chamber.
Definition (NCI) Area of epithelial tissue loss from corneal surface; associated with inflammatory cells in the cornea and anterior chamber.
Definition (MSH) Loss of epithelial tissue from the surface of the cornea due to progressive erosion and necrosis of the tissue; usually caused by bacterial, fungal, or viral infection.
Definition (CSP) loss of epithelial tissue from the surface of the cornea due to progressive erosion and necrosis of the tissue; usually caused by bacterial, fungal, or viral infection.
Definition (NCI) Area of epithelial tissue loss from corneal surface; associated with inflammatory cells in the cornea and anterior chamber.
Concepts Acquired Abnormality (T020) , Disease or Syndrome (T047)
MSH D003320
ICD9 370.00, 370.0
ICD10 H16.0, H16.00
SnomedCT 155152009, 193758008, 193763007, 193759000, 91514001
English Corneal Ulcer, Keratitides, Ulcerative, Keratitis, Ulcerative, Ulcer, Corneal, Ulcerative Keratitides, Ulcerative Keratitis, cornea ulcer, CORNEAL ULCER, CORNEAL ULCERATION, ULCER CORNEAL, Corneal ulcer, NOS, Corneal ulcer NOS, Unspecified corneal ulcer, Corneal ulcer (incl herpetic), Corneal ulcer (including herpetic), Corneal ulcerations, corneal ulcer (diagnosis), corneal ulceration (physical finding), corneal ulcer, corneal ulceration, KERATITIS ULCERATIVE, Unspecified corneal ulcer (disorder), Corneal ulcer NOS (disorder), ULCER, CORNEAL, Corneal Ulcer [Disease/Finding], Ulcer;corneal, corneal ulcers, ulcer cornea, cornea ulcers, Corneal ulcer, Corneal ulcer (disorder), cornea; erosion, cornea; ulcer, erosion; cornea, ulcer; cornea, ulcerative; keratitis, ulcerative keratitis, Corneal ulcer, unspecified, Ulcer corneal, Corneal ulceration, Ulcerative keratitis
Dutch ulceratieve keratitis, cornea ulcus, niet-gespecificeerd, cornea ulcus, cornea ulceratie, ulcus corneae, Ulcus corneae (incl herpetisch), cornea; erosie, cornea; ulcus, erosie; cornea, ulceratief; keratitis, ulcus; cornea, Cornea-ulcus, Hoornvliesulcus, Keratitis, ulceratieve, Ulcus corneae
German Ulzerative Keratitis, Ulkus der Hornhaut, Hornhautulzeration, Hornhautulkus, unspezifisch, HORNHAUTULZERATION, Ulcus corneae (inkl Herpes Simplex), Ulcus corneae, Keratitis, ulzerative, Hornhautulkus, Kornea-Ulkus, Hornhautgeschwür, Korneageschwür
Portuguese Queratite ulcerosa, Úlcera da córnea, Úlcera da córnea NE, Ulceração da córnea, ULCERACAO DA CORNEA, Ulcera cornea (incl herpetica), Ceratite Ulcerativa, Úlcera da Córnea
Spanish Queratitis ulcerosa, Úlcera de córnea, Úlcera corneal no especificada, Úlcera corneal, Ulceración corneal, Corneal ulcer, CORNEA, ULCERACION, Ulcera corneal (in herpetica), úlcera corneal (trastorno), úlcera corneal, úlcera de córnea no especificada (trastorno), úlcera de córnea no especificada, úlcera de córnea, SAI (trastorno), úlcera de córnea, SAI, Queratitis Ulcerativa, Úlcera de la Córnea, Ulcera de la Cornea
French Ulcération de la cornée, Ulcère cornéen non précisé, ULCERATION CORNEENNE, Ulcere de la cornee (et herpes), Kératite ulcérative, Ulcère de la cornée, Ulcère cornéen, Kératite ulcéreuse
Italian Ulcera dela cornea, Ulcerazione corneale, Ulcera corneale, non specificata, Ulcera corneale(incl erpetica), Cheratite ulcerativa, Ulcera corneale
Japanese 角膜潰瘍形成, 角膜潰瘍、詳細不明, ｶｸﾏｸｶｲﾖｳ, ｶｲﾖｳｾｲｶｸﾏｸｴﾝ, ｶｸﾏｸｶｲﾖｳｹｲｾｲ, ｶｸﾏｸｶｲﾖｳｼｮｳｻｲﾌﾒｲ, 潰瘍-角膜, 角膜潰瘍, 潰瘍性角膜炎, 角膜炎-潰瘍性
Swedish Hornhinnesår, HORNHINNEULCERATION (INKL HERPES)
Czech rohovka - vřed, Ulcerace rohovky, Nespecifikovaný vřed na rohovce, Rohovkový vřed, Vřed rohovky, Vředovitá keratitida
Finnish Sarveiskalvon haavauma, SARVEISKALVON HAAVAUMA (ML HERPEKSEN AIHEUTTAMA)
Russian KERATIT IAZVENNYI, ROGOVITSY IAZVA, КЕРАТИТ ЯЗВЕННЫЙ, РОГОВИЦЫ ЯЗВА
Norwegian SAR PA HORNHINNEN HERPETISK
Danish Ulcus corneae (incl. herpetisk)
Hungarian ulcus corneae (beleertve herpest), Cornea fekély, Ulcerativ keratitis, Cornealis fekély, nem meghatározott, Cornealis fekély, Cornealis ulceratio
Korean 각막 궤양
Basque BETZURINGOKO ULTZERA(INKL.HERPESA)
Hebrew kiv bakarnit kolel herpes
Polish Wrzód rogówki
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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