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4 Cards in this Set
- Front
- Back
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Staphylococcal Hypersensitivity |
Sign : Phlyctenular keratoconjunctivitis (PKC) |
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Staphylococcal Hypersensitivity management |
Mild 1. Warm compress 2. Eyelid hygiene 3. Fluoroquinolone (Ciprofloxacin 0.3% sol) antibiotic qid and bacitracin ointment qhs
Moderate The above + low dose topical steroid (lopoprednol 0.2% to 0.5% or prednisolone 0.25% qid) with an antibiotic (e.g. Polytrim or a Fluoroquinolone qid) - prednisolone acetate, 1% suspension qid for 5 to 10 days - TobraDex or Zylet qid for 5 to 10 days
Recurrence case: Add systemic Tetracycline 250mg po qid |
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Thygeson Superficial punctate keratopathy |
Mild - artificial tear q1h Artelac - artificial ointment qhs Moderate to severe Mild FML 0.1% qid 1-4 week FU: every 3-6 months (monitor IOP for steroid use) |
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Corneal foreign body injury |
Removal of foreign body particles - superficial: sterile cotton wool spud or by saline irrigation - if metallic and form rust ring: Alger brush drill
Prevention of infection - administration of prophylaxis antibiotic - Polytrim bid
Supportive treatment - artificial tear Artelac q1h - patient should be reevaluated at least in 24 hours after the treatment |
