Speaker highlights controversies, evolving management strategies for infectious keratitis

LISBON, Portugal — Culture-directed therapy should be preferred to empirical methods in cases of severe and non-severe infectious keratitis, according to one specialist. “Many clinicians treat non-severe disease empirically, without obtaining a specimen,” Terrence P. O’Brien, MD, said at the Controversies in Ophthalmology meeting. “My suggestion is to always obtain a scraping of the cornea for culture, apply a broad-spectrum antibiotic therapy, follow the patient, and then modify the treatment based on patient response and on laboratory findings about susceptibility of the organisms that have been identified.”

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