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