Infective Keratitis Flashcards

1
Q

What is infective keratitis?

A

Corneal infection -> corneal ulcer

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2
Q

Is infective keratitis usually bilateral or unilateral?

A

Unilateral

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3
Q

Common causes of bacterial keratitis

A

Gram negative bacteria

Contact lens associated

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4
Q

Common causes of viral keratitis

A

HSV1 (coldsore on eye)

VZV (shingles)

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5
Q

Clinical features of infective keratitis

A

Red (especially near site of ulcer)

Bacterial = sticky

Viral = watery

Very painful

Photophobic

Vision may be affected depending on site

May get fluid level of pus (hypopyon) in bacterial

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6
Q

Management of bacteria keratitis

A

G. fluoroquinolone (eg moxifloxacin) hourly 48hrs, then QDS for 5 days

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7
Q

Management of viral keratitis

A

OC aciclovir or ganciclovir 5x/day for 1-2 weeks.

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8
Q

Complications of infective keratitis

A

Heals with scar which may affect vision

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