Bacterial keratitis - Revision history

Rossdonaldson1: /* Disposition */

2020-09-26T19:58:11Z

Disposition

← Older revision		Revision as of 19:58, 26 September 2020
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	*Ophtho consult for possible perforation risk		*Ophtho consult for possible perforation risk
	*Eye patch in the interim		*Eye patch in the interim

			==See Also==
			*[[Corneal ulcer]]

	==References==		==References==

Rossdonaldson1 at 19:56, 26 September 2020

2020-09-26T19:56:51Z

← Older revision		Revision as of 19:56, 26 September 2020
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	''Bacterial keratitis is also often referred to as a [[corneal ulcer]], ~~althoug~~ these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer), and a cornea may have an ulcer without a bacterial infection.''		''Bacterial keratitis is also often referred to as a [[corneal ulcer]], although these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer), and a cornea may have an ulcer without a bacterial infection.''
	==Background==		==Background==
	*Rapidly progressing, with corneal destruction as fast as within 24 hrs		*Rapidly progressing, with corneal destruction as fast as within 24 hrs

Rossdonaldson1: /* Background */

2020-09-26T19:56:37Z

Background

← Older revision		Revision as of 19:56, 26 September 2020
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			''Bacterial keratitis is also often referred to as a [[corneal ulcer]], althoug these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer), and a cornea may have an ulcer without a bacterial infection.''
	==Background==		==Background==
	''Bacterial keratitis is also often referred to as a [[corneal ulcer]]. In practice, these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer) and a cornea may have an ulcer without a bacterial infection.''
	*Rapidly progressing, with corneal destruction as fast as within 24 hrs		*Rapidly progressing, with corneal destruction as fast as within 24 hrs
	*Corneal perforation is most sight threatening complication		*Corneal perforation is most sight threatening complication

Rossdonaldson1: /* Background */

2020-09-26T19:55:39Z

Background

← Older revision		Revision as of 19:55, 26 September 2020
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	==Background==		==Background==
	''Bacterial keratitis is also often referred to as a 'corneal ulcer'. In practice, these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer) and a cornea may have an ulcer without a bacterial infection.''		''Bacterial keratitis is also often referred to as a [[corneal ulcer]]. In practice, these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer) and a cornea may have an ulcer without a bacterial infection.''
	*Rapidly progressing, with corneal destruction as fast as within 24 hrs		*Rapidly progressing, with corneal destruction as fast as within 24 hrs
	*Corneal perforation is most sight threatening complication		*Corneal perforation is most sight threatening complication

Rossdonaldson1: /* Background */

2020-09-26T19:55:22Z

Background

← Older revision		Revision as of 19:55, 26 September 2020
Line 1:		Line 1:
	==Background==		==Background==
			''Bacterial keratitis is also often referred to as a 'corneal ulcer'. In practice, these terms are not directly interchangeable because a cornea may harbor a bacterial infection (i.e bacterial keratitis) without having a loss of tissue (an ulcer) and a cornea may have an ulcer without a bacterial infection.''
	*Rapidly progressing, with corneal destruction as fast as within 24 hrs		*Rapidly progressing, with corneal destruction as fast as within 24 hrs
	*Corneal perforation is most sight threatening complication		*Corneal perforation is most sight threatening complication

Rossdonaldson1: /* Clinical Features */

2020-09-26T19:31:29Z

Clinical Features

← Older revision		Revision as of 19:31, 26 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3520035 TOOPHTJ-6-110 F3.png\|thumb\|Bacterial keratitis due to [[Pseudomonas]] spp.]]
	*[[Blurred vision]]		*[[Blurred vision]]
	*Severe [[eye pain\|pain]] and photophobia		*Severe [[eye pain\|pain]] and photophobia

ClaireLewis at 15:57, 5 October 2019

2019-10-05T15:57:53Z

← Older revision		Revision as of 15:57, 5 October 2019
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	*Risk factors		*Risk factors
	**[[Contact lens]] use		**[[Contact lens]] use
	**Corneal surgery, [[ocular ~~trauma~~\|trauma]]		**Corneal surgery, [[ocular Trauma\|trauma]]
	**Chronic dry eye		**Chronic dry eye
	**Recent corneal disease (viral, fungal keratitis)		**Recent corneal disease (viral, fungal keratitis)

ClaireLewis at 15:57, 5 October 2019

2019-10-05T15:57:34Z

← Older revision		Revision as of 15:57, 5 October 2019
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	*Rapidly progressing, with corneal destruction as fast as within 24 hrs		*Rapidly progressing, with corneal destruction as fast as within 24 hrs
	*Corneal perforation is most sight threatening complication		*Corneal perforation is most sight threatening complication
	*Strep, staph, pseudomonas, enterobacteriaceae		*[[Strep]], [[staph]], [[pseudomonas]], [[enterobacteriaceae]]
	*Risk factors		*Risk factors
	**Contact lens use		**[[Contact lens]] use
	**Corneal surgery, trauma		**Corneal surgery, [[ocular trauma\|trauma]]
	**Chronic dry eye		**Chronic dry eye
	**Recent corneal disease (viral, fungal keratitis)		**Recent corneal disease (viral, fungal keratitis)
	**Immune deficiency, topical steroids		**Immune deficiency, [[topical steroids]]

	==Clinical Features==		==Clinical Features==
	*Blurred vision		*[[Blurred vision]]
	*Severe pain and photophobia		*Severe [[eye pain\|pain]] and photophobia
	*Perilimbic injection		*Perilimbic injection
	*Normal pupil size		*Normal pupil size
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	*[[UV keratitis]]		*[[UV keratitis]]
	*[[Herpes zoster]]		*[[Herpes zoster]]
	*Contact lens complication		*[[contact lens problems\|Contact lens complication]]
	*Fungal keratitis		*Fungal keratitis
	*[[Bacterial keratitis]]		*[[Bacterial keratitis]]
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	==Evaluation==		==Evaluation==
	*Topical anesthesia with proparacaine, as opposed to tetracaine which has bacteriostatic effects, limiting culture results		*Topical anesthesia with proparacaine, as opposed to [[tetracaine]] which has bacteriostatic effects, limiting culture results
	*Culture and gram stain of corneal ulcer edges, eyelids, conjunctiva, contact lenses		*Culture and gram stain of corneal ulcer edges, eyelids, conjunctiva, contact lenses
	*Ultrasound to assess for signs of endophthalmitis and other pathologies		*[[ocular ultrasound\|Ultrasound]] to assess for signs of endophthalmitis and other pathologies

	==Management==		==Management==
	*Broad spectrum topical antibiotics; 1 drop q1 hr		*Broad spectrum topical [[antibiotics]]; 1 drop q1 hr
	**Tobramycin 14mg/ml		**[[Tobramycin]] 14mg/ml
	**Alternate with fortified cefazolin 50mg/ml		**Alternate with fortified [[cefazolin]] 50mg/ml
	*Smaller corneal ulcers may be treated with moxifloxacin or gatifloxacin ophthalmic		*Smaller corneal ulcers may be treated with [[moxifloxacin]] or [[gatifloxacin]] ophthalmic

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-23T08:20:46Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 08:20, 23 July 2016
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	==~~Diagnosis~~==		==Evaluation==
	*Topical anesthesia with proparacaine, as opposed to tetracaine which has bacteriostatic effects, limiting culture results		*Topical anesthesia with proparacaine, as opposed to tetracaine which has bacteriostatic effects, limiting culture results
	*Culture and gram stain of corneal ulcer edges, eyelids, conjunctiva, contact lenses		*Culture and gram stain of corneal ulcer edges, eyelids, conjunctiva, contact lenses

Neil.m.young: Text replacement - "0 mg" to "0mg"

2016-07-20T12:16:20Z

Text replacement - "0 mg" to "0mg"

← Older revision		Revision as of 12:16, 20 July 2016
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	*Broad spectrum topical antibiotics; 1 drop q1 hr		*Broad spectrum topical antibiotics; 1 drop q1 hr
	**Tobramycin 14mg/ml		**Tobramycin 14mg/ml
	**Alternate with fortified cefazolin ~~50 mg~~/ml		**Alternate with fortified cefazolin 50mg/ml
	*Smaller corneal ulcers may be treated with moxifloxacin or gatifloxacin ophthalmic		*Smaller corneal ulcers may be treated with moxifloxacin or gatifloxacin ophthalmic