A 42-year-old contact lens wearer presents with "the worst pain of my life."
The patient saw an eye doctor one month ago and was told that there was nothing seen on examination, despite the intense pain. Why?
- Band keratopathy
- Staph marginal ulcer
- Granular dystrophy
- Acanthamoeba keratitis
Analysis
There is mild vascular injection of the conjunctiva. The cornea has a significant infiltrate present that are located in the deep cornea. Many have a linear morphology. The epithelium is intact.
Corneal scrapings confirmed the diagnosis of acanthamoeba keratitis.
In this 19-minute video featuring Dr. Beeran Meghpara, co-director of the Refractive Surgery Department at Wills Eye Hospital, you will:
- Learn when to consider using steroids for corneal ulcers
- Review the presentation of acanthamoeba keratitis
- Review atypical causes of corneal ulcer
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