MD, BAppSci(Optom) (Hons), Resident Medical Officer, City Eye Centre, Brisbane, Qld; Royal Brisbane and Women@s Hospital, Brisbane, Qld.
MD, MBBS, FRANZCO, Consultant Ophthalmologist, City Eye Centre, Brisbane, Qld; Associate Professor of Ophthalmology, University of Queensland, Brisbane, Qld.
Aust J Gen Pract. 2019 Aug;48(8):516-519. doi: 10.31128/AJGP-02-19-4857.
Microbial keratitis is a medical emergency. Although an uncommon presenting condition to general practitioners, it is potentially vision-threatening. Prompt recognition, management and urgent referral for ophthalmic review are required to minimise vision loss.
This article discusses the clinical presentation, examination and management of microbial keratitis in general practice.
A detailed history and examination are vital for the prompt recognition of microbial keratitis. Risk factors include contact lens wear, underlying ocular surface diseases or trauma and immunosuppressive states. The anterior segment needs to be examined for specific signs of infection. Inadequate management of microbial keratitis can lead to permanent loss of vision.
微生物角膜炎是一种医疗急症。尽管对全科医生来说并不常见，但它可能会威胁到视力。需要及时识别、处理并紧急转介眼科检查，以尽量减少视力损失。
本文讨论了全科医学中微生物角膜炎的临床表现、检查和处理。
详细的病史和检查对于及时识别微生物角膜炎至关重要。危险因素包括隐形眼镜佩戴、潜在的眼表面疾病或创伤以及免疫抑制状态。需要检查前段以发现具体的感染迹象。微生物角膜炎处理不当可导致永久性视力丧失。
