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8 Cards in this Set

  • Front
  • Back
P. Aeruginosa
(Exotoxin A, Exoenzymes, Biofilms) Rapid onset 12-48hrs with hypopyon, poss progression to perforation/blindness; common reservoir is homemade contact lens solution/H2O
Bacillus Cereus
(g+ rod with spores) Rapid Onset 12-48hrs, COMPACT LESIONS with hypopyon, Has Cereulosin and P-Lipases for mucosal breakdown and corneal attachment; can be found in Soil/H2O poss progression to perforation/blindness;

Dx: B-Heme
Keratitis
Corneal Inflamation, Pain/FB Sensation, no discharge, Hypopyon= Leukocyte infiltration (pus in ant chamber), normally needs defect to get in
Aspergillis/Fusarium
(Monomorphic Fungi) Very slow Onset weeks-months Fuzzy edges and ulceration, increased risk with ImC/Steroids, found in water/soil/Contaminated Contact lens solution; Has Phospholipase; Can progress to perforation/blindness.

Dx: Hyphae on Fundascopic exam, KOH-MYC-SBA
Loa Loa
(Filiary Nematode) Aquired from Mango Fly bite, no vision loss but painful Cutaneous swellings

Dx: Eosinophilia, Filiary in blood
"River Blindness" - Onchocerca Volvulus
(Filiary Nematode) Aquired by black fly bite in Africa/Central and South America, causes punctuate painful skin lesions and blindness due to inflammatory damage

Dx: Skin Snips
Acanthaamoeba Castelani
(Amoeba); Weeks to Months; Ring of infiltrates that progress to total opacity Aquired from warm water, poss contaminated contact lenses.

Dx: DFA/Biopsy

Tx: Debridement
HSV
(Herpesviridae-ds DNA +env) Dendritic Ulcers that progress to corneal ulcers/blindness; Lifelong infection that may be reactivated; Most common corneal blindness in US;

Dx: PCR/ELISA