Corneal Ulcer

Aka: Corneal Ulcer

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II. Causes

  1. Bacteria
    1. Pseudomonas (esp. Soft Contact Lenses worn overnight)
  2. Fungus

III. Symptoms

  1. Severe Eye Pain
  2. Decreased Visual Acuity

IV. Signs

  1. Infiltrate (White Spot) on Cornea
    1. Seen without Fluorescein
  2. Overlying Corneal Epithelial Disruption
  3. Iritis
  4. Hypopyon

V. Labs

  1. Culture discharge

VI. 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

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