II. Causes

  1. Bacteria
    1. Pseudomonas (esp. Soft Contact Lenses worn overnight)
  2. Fungus

III. Symptoms

IV. Signs

  1. Infiltrate (White Spot) on Cornea
    1. Seen without Fluorescein
  2. Overlying Corneal Epithelial Disruption
  3. Iritis
  4. Hypopyon

V. Labs

  1. Culture discharge

VI. Management

  1. Urgent Ophthalmology referral
  2. Topical Antibiotics - broad spectrum around the clock
    1. Tobramycin
    2. Gentamicin
    3. Norfloxacin
    4. Ciprofloxacin
  3. Cycloplegic
    1. Homatropine 5% tid
    2. Atropine 1% bid

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