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Persistent infectious keratitis in a contact lens wearer
A 21-year-old female nursing student was referred to Tufts New England Eye Center Cornea Service for a persistent infectious keratitis that was not responding to topical antibiotic therapy.She initially presented to an outside ophthalmologist with 5 days of severe pain, tearing, photophobia and a small infiltrate in the right eye. She was started on Vigamox (moxifloxacin, Alcon) every 2 hours for presumed bacterial keratitis. When symptoms did not improve after 2 days, prednisolone and bacitracin four times daily were added to the regimen. By day 10, her clinical picture had (Read more...)