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Year : 2019  |  Volume : 31  |  Issue : 1  |  Page : 51-53

One case, one pearl: Back to basics

Department of Ophthalmology, Superspeciality Malabar Eye Hospital, Kozhikode, Kerala, India

Correspondence Address:
Vengayil Sujith Nayanar
Superspeciality Malabar Eye Hospital, Vee Pee Space, Civil Station, Kozhikode - 673 020, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_4_19

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The majority of community-acquired cases of infectious keratitis resolve with empiric therapy and are managed without smears or cultures. Smears and cultures are indicated, however, in cases that involve a corneal infiltrate that is central, large, and extends to the deep stroma; that are chronic in nature or unresponsive to broad-spectrum antibiotic therapy; or that have atypical clinical features suggestive of fungal, amoebic, or mycobacterial keratitis. Before initiating antimicrobial therapy, cultures are indicated in sight-threatening or severe keratitis of suspected microbial origin. This case report highlights the importance of scraping in the diagnosis and management of corneal ulcer and also need for rational use of medicines.

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