Concluded Case

management ?

pain ,redness ,diminished vision for 10 days ,no history of trauma .

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Corneal abcess Swab for c/s , KOH mount smear slide for fungus debridment Moxflox e/d one hourly getiflozxacin 2 hourly homide e/d 8 hourly hourly Diamox Tab bd After culture finding readjust antibiotic add ant fungal Follow up daily

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Corneal ulcer: Rx : . Cauterisarion of ulcer. . Moxifloxacin ,tobramycin , natamycin, fluconazole, chloramphenicol with polymyxin-b e/drops. .Atropine e/drops. .Timolol e/drops . . Paracetamol. . Dark glasses.

Corneal abcess Swab for c/s , KOH mount smear slide for fungus debridment Moxflox e/d one hourly getiflozxacin 2 hourly homide e/d 8 hourly hourly Diamox Tab bd After culture finding readjust antibiotic add ant fungal Follow up daily

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Appears like fungal corneal ulcer developing toward panophthalmitis Treatment is by atropine, antifungal agents, NSAID and systemic antifungal agents.

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Severe squamous blepharitis Topical gatiflox eye drops 5times/day Moxicip eye ointment 2times/day Tab.DOXYCYCLINE 100mg OD LID MASSAGE HOT FORMENTATION REVIEW AFTER 1WEEK

LOOKS LIKE FUNGAL KERATITIS WITH SECONDRY BACTERIAL CONJUCTIVITIS

Seems a case of fungal corneal ulcer....

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