March 05, 2018
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VIDEO: Stop drops before culturing corneal infections
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ATLANTA – Zaina Al-Mohtaseb, MD, provided tips here at SECO on triaging corneal infections into low risk, high risk, fungal and parasitic and determining appropriate treatment.
“With low risk, it is reasonable to start with something like a fluoroquinolone to empirically treat the patient,” she said. “Those at high risk, such as those with previous history of trauma or immunocompromise or on topical steroids or who have ocular surface disease or a large infiltrate, I would culture and start on fortified antibiotics.”
Before sending the patient for a second opinion, stop all drops at least 12 to 48 hours in advance so the patient can be re-cultured, she said.