A 31-year-old presents with a 3-day history of pain and photophobia. Vision is 20/30. Why?

Cornea Coach #22

Analysis

The patient was noted to have perilimbal injection and a mild increase in conjunctival vascularity. A small corneal infiltrate is seen at the 3:30 position on the peripheral cornea. There is no overlying epithelial defect and the iris and anterior chamber is clear.

The patient was diagnosed with a small peripheral corneal ulcer suggestive of a staphylococcal infection.

In this 9-minute video featuring Dr. Beeran Meghpara, co-director of the Refractive Surgery Department at Wills Eye Hospital, you will:

  • Learn when culture a corneal ulcer
  • How to culture a corneal ulcer
  • How to treat a corneal ulcer
Cornea Coach #22 Analysis

Cornea Coach Tip

In a small peripheral ulcer in which the epithelium is intact corneal cultures are not necessary and non-fortified topical antibiotics should be given.

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