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  • Keratitis - Symptoms, diagnosis and treatment | BMJ Best Practice
    Keratitis is an ocular emergency and remains one of the major causes of blindness around the world Main risk factors include corneal trauma, contact lens wear, and breakdown of the corneal epithelium The diagnosis depends on a careful history, slit-lamp examination, and corneal scraping culture
  • Thygesons Superficial Punctate Keratitis - University of Iowa
    Thygeson's Superficial Punctate KeratitisNatural History TSPK tends to have a chronic recurrent course with asymptomatic periods during which both corneas are clear interrupted by episodes of blurred vision and minor eye irritation One remarkable feature is the absence of any accompanying conjunctivitis Keratitis is variable with remissions and exacerbations for several years until it
  • Peripheral Ulcerative Keratitis (PUK) - University of Iowa
    Clinical Course The patient presented to the University of Iowa Hospitals and Clinics (UIHC) with a peripheral corneal ulceration in the right eye in the setting of arthritis and an unclear history of rheumatologic disease The presentation was most consistent with peripheral ulcerative keratitis (PUK) with corneal melt resulting in prominent corneal thinning The anterior chamber cell and
  • Superior Limbic Keratitis - University of Iowa
    Superior limbic keratoconjunctivitis was likely first noted by Braley and Alexander in 1953 when they described a series of patients with superficial punctate keratitis and filaments [1]
  • Herpes Simplex Keratitis - University of Iowa
    HSV keratitis can present with involvement of the corneal epithelium, stroma, or endothelium, with or without associated inflammation of the anterior chamber (Table 1) [1-4] Pathophysiologic manifestations may be related to the presence of live virus, immunological reactions to viral antigen, or secondary to previous herpetic injury
  • Corneal Marginal Ulcer - University of Iowa
    Corneal Marginal Ulcer CLINICAL COURSE In summary, this patient was a 45 year-old male with a sub-acute presentation of redness, irritation, pain, and discharge of the left eye On exam, he had a circumlimbal corneal infiltrate with overlying epithelial breakdown and associated conjunctival injection He was initially started on levofloxacin every 2 hours while awake, erythromycin ointment
  • Atlas Entry - Herpes simplex virus (HSV) disciform keratitis
    Herpetic disciform keratitis is a primary endotheliitis resulting in both stromal and epithelial edema in a round (disciform) distribution with keratic precipitates underlying the area of edema
  • Vision Loss After Contact Lens-Related Pseudomonas Keratitis
    Bacterial keratitis caused by this Gram-negative organism is more fulminant and associated with a worse visual prognosis than that caused by most other common bacterial pathogens (1-3,7-9) Subjectively, the patient reports the sudden onset and rapid progression of ocular pain, redness, tearing, photophobia, and blurred vision
  • Atlas Entry - Acanthamoeba keratitis - University of Iowa
    Acanthamoeba keratitis is a rare parasitic infection of the cornea that primarily occurs in contact lens wearers The infection may be limited to the epithelium in its early stages, resulting in epithelial dendrites and punctate epitheliopathy Later stromal involvement classically results in a partial or complete paracentral ring infiltrate, radial perineuritis, and pain out of proportion to
  • Atlas Entry - Fungal keratitis - University of Iowa
    Common feature of fungal keratitis classically include dry-appearing, elevated infiltrates with feathered margins and satellite lesions





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