Management of microbial keratitis in general practice

Abstract

BACKGROUND: Microbial keratitis is a medical emergency. Although an uncommon presenting condition to general practitioners, it is potentially vision-threatening. Prompt recognition, management and urgent referral for ophthalmic review are required to minimise vision loss. OBJECTIVE: This article discusses the clinical presentation, examination and management of microbial keratitis in general practice. DISCUSSION: A detailed history and examination are vital for the prompt recognition of microbial keratitis. Risk factors include contact lens wear, underlying ocular surface diseases or trauma and immunosuppressive states. The anterior segment needs to be examined for specific signs of infection. Inadequate management of microbial keratitis can lead to permanent loss of vision.