Acharya Manisha, Farooqui Javed Hussaina, Jain Shikha, Mathur Umang
Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Ram Manohar Lohia Hospital, New Delhi, India.
Rom J Ophthalmol. 2019 Apr-Jun;63(2):119-127.
Infective Keratitis is a commonly encountered sight-threatening ocular emergency. In developing countries, it is a major cause of corneal blindness. Empirical treatment without microbiological work up often leads to treatment failure. Indiscriminate use of steroid antibiotic combination worsens the situation and makes further management challenging. The correct line of management can be potentially sight saving for both the ophthalmologist and the patient. This article on Infective keratitis has been written keeping best practices and protocols in mind. In a very simple and concise form, it focuses on the salient features of clinical presentation of infective keratitis and the stepwise approach to subsequent management in a patient. It explains in detail the way to perform corneal scraping, the importance of the same and further management based on microbiologically proven result. The management part includes indications and methods for medical as well as surgical intervention. We aimed to share our experience in the management of patients presenting with infective keratitis in the clinic.
感染性角膜炎是一种常见的、威胁视力的眼部急症。在发展中国家，它是导致角膜盲的主要原因。未经微生物学检查的经验性治疗常常导致治疗失败。不加区分地使用类固醇抗生素联合用药会使情况恶化，并给进一步的治疗带来挑战。正确的治疗方案对眼科医生和患者而言都有可能挽救视力。本文关于感染性角膜炎的撰写遵循了最佳实践和诊疗规范。它以非常简单和简洁的形式，重点介绍了感染性角膜炎临床表现的显著特征以及对患者后续治疗的逐步方法。它详细解释了进行角膜刮片的方法、其重要性以及基于微生物学确诊结果的进一步治疗。治疗部分包括药物及手术干预的适应证和方法。我们旨在分享我们在诊所中管理感染性角膜炎患者的经验。
