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Home > West Medicine > ENT & Ophthalmology > Ophthalmology
H16.803

Bacterial Keratitis

眼科

Common symptoms

眼睑痉挛、流泪、不断眨眼、角膜溃疡、结膜充血、畏光、角膜炎

The pathology of disease

Bacterial keratitis is bacterial infection of the cornea, an ophthalmic emergency that can progress to ulceration, perforation, and corneal scarring. Risk factors: contact-lens wear, trauma, ocular surface disease. Clinical: pain, redness, photophobia, discharge, reduced vision, and a corneal infiltrate/ulcer. Treatment: urgent ophthalmology; corneal scraping for smear/culture; frequent fortified topical antibiotics (fluoroquinolone/cefazolin/gentamicin); cycloplegics; corneal transplant if perforation/scarring.

Common Symptoms

Pain/redness/photophobia; discharge; reduced vision; corneal infiltrate; contact-lens/trauma risk

Causes and Pathogenesis

Bacteria (Pseudomonas/Staphylococcus) invade corneal epithelium/stroma, causing infiltrate and ulceration.

Treatment

Urgent ophthalmology; smear/culture; fortified topical antibiotics; cycloplegics; transplant if needed

Preventive Measures

Contact-lens hygiene; avoid overnight wear; urgent treatment.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.