Corneal ulcer - Revision history

Thomaslterman: /* Management */

2024-08-04T00:38:09Z

Management

← Older revision		Revision as of 00:38, 4 August 2024
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	**[[Cyclopentolate]] 1%		**[[Cyclopentolate]] 1%
	*Do not patch the eye		*Do not patch the eye
	*Tdap		*Tdap update is not strictly required
	*Consider gentle irrigation if there is suspicion for contamination		*Consider gentle irrigation and if there is suspicion for contamination

	==Disposition==		==Disposition==

Thomaslterman: /* Management */

2024-08-04T00:34:05Z

Management

← Older revision		Revision as of 00:34, 4 August 2024
Line 64:		Line 64:
	*Do not patch the eye		*Do not patch the eye
	*Tdap		*Tdap
	*Consider irrigation if there is suspicion for contamination		*Consider gentle irrigation if there is suspicion for contamination

	==Disposition==		==Disposition==

Thomaslterman: /* Management */

2024-08-04T00:33:09Z

Management

← Older revision		Revision as of 00:33, 4 August 2024
Line 64:		Line 64:
	*Do not patch the eye		*Do not patch the eye
	*Tdap		*Tdap
	*Consider irrigation if ~~suspect~~ contamination		*Consider irrigation if there is suspicion for contamination

	==Disposition==		==Disposition==

Thomaslterman: /* Management */

2024-08-04T00:32:14Z

Management

← Older revision		Revision as of 00:32, 4 August 2024
Line 63:		Line 63:
	**[[Cyclopentolate]] 1%		**[[Cyclopentolate]] 1%
	*Do not patch the eye		*Do not patch the eye
			*Tdap
			*Consider irrigation if suspect contamination

	==Disposition==		==Disposition==

Rossdonaldson1: /* Evaluation */

2021-08-28T12:26:26Z

Evaluation

← Older revision		Revision as of 12:26, 28 August 2021
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	*Topical anesthetic (ie proparacaine or tetracaine) may assist in patient cooperation with exam once open globe excluded.		*Topical anesthetic (ie proparacaine or tetracaine) may assist in patient cooperation with exam once open globe excluded.
	**Repeated doses or Rx for topical anesthesia is contraindicated given concerns for impaired healing		**Repeated doses or Rx for topical anesthesia is contraindicated given concerns for impaired healing

			{{Corneal abrasion vs ulcer}}

	==Management==		==Management==

Athorne: /* Management */

2021-08-03T17:28:09Z

Management

← Older revision		Revision as of 17:28, 3 August 2021
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	*Topical antibiotics		*Topical antibiotics
	**Vigamox 1 drop qhour '''OR'''		**Vigamox 1 drop qhour '''OR'''
	**[[Ciprofloxacin]] ~~1 drop qhour~~		**[[Ciprofloxacin]]
			***2gtt q15 min x6 hours, then q30min x18h, then q1h x1 day, then q4h x12d
	*Consider [[antiviral]] or [[antifungal]] if high suspicion for viral or fungal cause (rare)		*Consider [[antiviral]] or [[antifungal]] if high suspicion for viral or fungal cause (rare)
	*[[Cycloplegic]] may help if iritis present		*[[Cycloplegic]] may help if iritis present

Athorne: /* Evaluation */

2021-08-03T17:23:19Z

Evaluation

← Older revision		Revision as of 17:23, 3 August 2021
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	==Evaluation==		==Evaluation==
	*Clinical		*Clinical diagnosis
			*Grey white corneal lesion on gross vs slit lamp examination
			*Fluorescein uptake
			*Visual Acuity
			*Topical anesthetic (ie proparacaine or tetracaine) may assist in patient cooperation with exam once open globe excluded.
			**Repeated doses or Rx for topical anesthesia is contraindicated given concerns for impaired healing

	==Management==		==Management==

Elcatracho: /* Clinical Features */

2021-02-05T18:57:55Z

Clinical Features

← Older revision		Revision as of 18:57, 5 February 2021
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	*Requires careful physical exam as 40% of lesions < 5mm		*Requires careful physical exam as 40% of lesions < 5mm
	*[[Hypopyon]] may be present		*[[Hypopyon]] may be present
	*[[Iritis]] signs may be present (miotic pupil, consensual photophobia)		*[[Uveitis\|Iritis]] signs may be present (miotic pupil, consensual photophobia)

	===Complications===		===Complications===

Rossdonaldson1 at 21:17, 16 December 2020

2020-12-16T21:17:30Z

← Older revision		Revision as of 21:17, 16 December 2020
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	''A corneal ulcer is also often referred to as [[bacterial keratitis]], 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.''		''A corneal ulcer is also often referred to as [[bacterial keratitis]], 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==
	[[File:~~Corneal ulcer~~.~~jpg~~\|thumb\|~~Corneal ulcer without infection~~]]		[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*Major cause of impaired vision and blindness worldwide		*Major cause of impaired vision and blindness worldwide
	*Break in epithelial layer allows infectious agents to gain access to the underlying stroma		*Break in epithelial layer allows infectious agents to gain access to the underlying stroma
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	==Clinical Features==		==Clinical Features==
			[[File:Corneal ulcer.jpg\|thumb\|Corneal ulcer without infection]]
	[[File:PMC3520035 TOOPHTJ-6-110 F3.png\|thumb\|Corneal ulcer infected with [[Pseudomonas]] spp.]]		[[File:PMC3520035 TOOPHTJ-6-110 F3.png\|thumb\|Corneal ulcer infected with [[Pseudomonas]] spp.]]
	*[[red eye\|Redness]] and swelling of lids and conjunctiva		*[[red eye\|Redness]] and swelling of lids and conjunctiva

Rossdonaldson1: /* Clinical Features */

2020-09-26T19:59:25Z

Clinical Features

← Older revision		Revision as of 19:59, 26 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3520035 TOOPHTJ-6-110 F3.png\|thumb\|Corneal ulcer infected with [[Pseudomonas]] spp.]]
	*[[red eye\|Redness]] and swelling of lids and conjunctiva		*[[red eye\|Redness]] and swelling of lids and conjunctiva
	*[[eye pain\|Ocular pain]] or foreign body sensation		*[[eye pain\|Ocular pain]] or foreign body sensation