Keratitis

Type Characteristic features Therapy
Bacterial keratitis • Most common form of keratitis
• ↑ Risk with wearing contact lenses
• Purulent discharge and/or hypopyon
• Round corneal infiltrate or ulcer
• Topical broad-spectrum antibiotics (e.g., ciprofloxacin)
Herpes zoster keratitis • ↓ Corneal sensation
Punctate lesions on the corneal surface (early disease)
Vesicular eruption on forehead, bridge, and tip of the nose
• Oral acyclovir, valacyclovir, or famciclovir
• Topical steroids
Herpes simplex keratitis Dendritic or geographic corneal ulcer • Topical trifluridine or ganciclovir
Acanthamoeba keratitis • ↑ Risk with wearing contact lenses
• Corneal ring infiltrate
• Topical antiseptic (e.g., chlorhexidine) with propamidine