Ophthalmology Book

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Keratitis

Aka: Keratitis, Corneal Injury, Corneal Trauma, Corneal Inflammation
  1. Definition
    1. Corneal Inflammation
  2. Etiology
    1. Secondary to Scleritis or Episcleritis
    2. Superficial punctate Keratitis (pinpoint Corneal lesions)
      1. Exposure to sun or Sunlamp (UV Keratitis)
      2. Arc-welding
      3. Contact Lens overuse
      4. Corneal Abrasion from foreign body
    3. Infection
      1. Bacterial Keratitis (esp. Contact Lens wear)
        1. Pseudomonas (esp. yellow-green discharge)
        2. Staphylococcus aureus
        3. Serratia
      2. Viral Keratitis
        1. Herpes Simplex Keratitis (dendritic lesion)
        2. Varicella Zoster Virus (Herpes Zoster Ophthalmicus)
        3. Epstein-Barr Virus
        4. Cytomegalovirus
      3. Parasitic Keratitis
        1. Acanthamoeba (esp. poor Contact Lens hygiene or water exposure while wearing)
          1. Severe Eye Pain, redness and photophobia for weeks
          2. Infiltrate in shape of ring over Cornea
  3. Symptoms
    1. Moderate to severe Eye Pain
    2. Moderate to severe Foreign body sensation
    3. Blurred vision
    4. Watery to mucopurulent Eye Discharge
    5. Photophobia
    6. Eye tearing
    7. Painful Red Eye
  4. Signs
    1. Conjunctival injection and Ciliary Flush
    2. Corneal vascularization (sclerosing Keratitis)
    3. Corneal Opacification (sclerosing Keratitis)
    4. Decreased Visual Acuity (depending on location)
    5. Normal or reduced pupil size
    6. Fluorescein Staining for Corneal Epithelial Disruption
      1. Keratitis may have a more diffuse uptake
      2. Corneal Ulcer (Ulcerative Keratitis)
    7. Hypopyon
  5. Management
    1. Ophthalmology Consultation
  6. References
    1. Pflipsen (2016) Am Fam Physician 93(12): 991-8 [PubMed]

Keratitis (C0022568)

Definition (CHV) inflammation of the cornea
Definition (CHV) inflammation of the cornea
Definition (MSHCZE) Zánět rohovky. Postiženy mohou být povrchové vrstvy s patrnými defekty v epitelu (např. keratitis dendritica) nebo je postiženo i stroma (např. keratitis parenchymatosa). Příč. mohou být viry (herpes, adenoviry), poranění, cizí tělíska, poleptání, bakterie či plísně. K. se projevuje bolestí, slzením, blefarospasmem, nerovnostmi povrchu. Postižení hlubokých vrstev může vést ke zkalení, přítomny jsou infiltráty, může dojít k vaskularizaci. Následně může dojít k poruchám zraku. Těžké formy vedou k vzniku vředu, indukci iritidy, hypopyon. Léčí se klidem, vyloučením dráždících faktorů (čoček), mydriatiky či cykloplegiky, kauzálními postupy (antibiotické masti, antivirotika). Lokální kortikoidy jsou vyhrazeny jen některým formám (zejm. hlubším, se spoluúčastí imunitních mechanismů, obv. v kombinaci s antimikrobiální léčbou). Nesprávně indikované kortikoidy mohou vést k rychlé progresi zánětu. Někdy jsou zároveň postiženy spojivky (keratokonjunktivitida). Typy k. – viz keratitis. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ )
Definition (NCI_CTCAE) A disorder characterized by inflammation to the cornea of the eye.
Definition (NCI) Inflammation of the cornea.
Definition (MSH) Inflammation of the cornea.
Definition (CSP) inflammation of the cornea.
Concepts Disease or Syndrome (T047)
MSH D007634
ICD9 370.9, 370
ICD10 H16, H16.9
SnomedCT 155151002, 193793001, 193757003, 155155006, 267730006, 5888003
English Keratitides, Keratitis, Unspecified keratitis, CORNEAL INFLAMMATION, Keratitis NOS, Keratitis, unspecified, keratitis, keratitis (diagnosis), Corneal inflammation, Inflammation corneal, keratitis (physical finding), Keratitis [Disease/Finding], corneal inflammation, Corneal keratitis, Keratitis NOS (disorder), Inflammation of cornea, Cornea inflamed, KERATITIS, Keratitis (disorder), cornea; inflammation, inflammation; cornea, Keratitis, NOS, Keratitis;measles
French KERATITE, Kératite non précisée, Inflammation de la cornée, Kératite SAI, INFLAMMATION DE LA CORNEE, Kératite
Spanish QUERATITIS, Queratitis no especificada, Queratitis NEOM, Inflamación corneana, Inflamación corneal, CORNEA, INFLAMACION, queratitis, SAI (trastorno), queratitis, SAI, queratitis (trastorno), queratitis, Queratitis
German KERATITIS, unspezifische Keratitis, Hornhautentzuendung, Keratitis NNB, Keratitis, unspezifisch, Entzuendung der Hornhaut, HORNHAUTENTZUENDUNG, Keratitis, nicht naeher bezeichnet, Keratitis, Hornhautentzündung (Auge)
Dutch keratitis NAO, hoornvliesontsteking, niet-gespecificeerde keratitis, ontsteking cornea, cornea; ontsteking, ontsteking; cornea, Keratitis, niet gespecificeerd, keratitis, Keratitis
Italian Infiammazione corneale, Cheratite non specificata, Cheratite NAS, Infiammazione della cornea, Cheratite
Portuguese Inflamação da córnea, Queratite NE, INFLAMACAO DA CORNEA, QUERATITE, Queratite, Ceratite
Japanese 角膜炎ＮＯＳ, 角膜の炎症, 詳細不明の角膜炎, 角膜炎, 角膜炎、詳細不明, ｶｸﾏｸｴﾝ, ｶｸﾏｸｴﾝｼｮｳｻｲﾌﾒｲ, ｶｸﾏｸﾉｴﾝｼｮｳ, ｶｸﾏｸｴﾝNOS, ｼｮｳｻｲﾌﾒｲﾉｶｸﾏｸｴﾝ
Swedish Hornhinneinflammation
Czech rohovka - zánět, zánět rohovky, keratitida, Zánět rohovky, Keratitida, Keratitida NOS, Blíže neurčená keratitida
Finnish Sarveiskalvotulehdus
Russian KERATIT, КЕРАТИТ
Korean 상세불명의 각막염, 각막염
Croatian KERATITIS
Polish Zapalenie rogówki
Hungarian Nem meghatározott keratitis, Keratitis k.m.n., Keratitis, Cornealis gyulladás, Keratitis, nem meghatározott
Norwegian Hornhinnebetennelse, Keratitt
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Injury of cornea (C0339289)

Definition (MSH) Damage or trauma inflicted to the CORNEA by external means.
Concepts Injury or Poisoning (T037)
MSH D065306
SnomedCT 231939004
Italian Traumatismi della cornea, Traumatismo corneale, Traumatismo della cornea NAS
Dutch hoornvliesletsel NAO, cornea; letsel, letsel; cornea, hoornvliesletsels, hoornvliesletsel
French Traumatisme de la cornée SAI, Blessure cornéenne, Lésions cornéennes
German Hornhautverletzung NNB, Verletzungen der Kornea, Hornhautverletzung
Portuguese Lesão traumática da córnea NE, Lesões da córnea, Trauma da córnea
Spanish Lesión traumática de la córnea NEOM, daño corneal, injuria corneal (trastorno), injuria corneal, lesión traumática corneal (trastorno), lesión traumática corneal, Herida corneal, Lesion traumática de la córnea
Japanese 角膜外傷ＮＯＳ, 角膜損傷, ｶｸﾏｸｶﾞｲｼｮｳNOS, ｶｸﾏｸｿﾝｼｮｳ
Czech Poranění rohovky NOS, Poranění rohovky, Poranění korney
English Corneal injury NOS, Injury of cornea, cornea injury, corneal injuries, of cornea injury, cornea injuries, Corneal injuries, corneal injury, corneal injury (diagnosis), Injuries, Corneal, Corneal Traumas, Corneal Trauma, Damages, Corneal, Corneal Injuries, Injury, Corneal, Traumas, Corneal, Injury, Cornea, Corneal Damage, Cornea Injuries, Corneal Damages, Trauma, Corneal, Cornea Injury, Injuries, Cornea, Damage, Corneal, Injury corneal, Injury of cornea (disorder), cornea; injury, injury; cornea, Corneal Injury
Hungarian Cornea-sérülés k.m.n., Cornea-sérülés, Cornea sérülések
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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