Goal

Early recognition and treatment to prevent long-term scarring of the cornea.

Minimum

Better

Best

NOTE:  Topical steroid drops may be useful to reduce inflammation after the infection is controlled with topical antibiotics. Initiation of topical steroid drops should only be done under the direction of an eye care specialist after teleconsultation.

Herpes simplex virus (HSV) keratitis is an additional form of keratitis that usually occurs in patients with a history of previous episodes. HSV keratitis may demonstrate a specific dendritic staining pattern with fluorescein (Figure 19). After recognition, treatment can be initiated with oral acyclovir (400mg PO 5 times per day).

 

9. ANGLE-CLOSURE GLAUCOMA

Blockage of the normal flow of aqueous fluid in the anterior chamber of the eye will lead to increased IOP. If left untreated, blood flow to the posterior segment of the eye will be affected, leading to irreversible vision loss. The aqueous drain system can become blocked owing to anatomic variations, changes in lens size, inflammation, and trauma (Figure 20).