The list of treatments mentioned in various sources for Keratitis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Keratitis may include:
Hidden causes of Keratitis may be incorrectly diagnosed:
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Treatment for acute keratitis due to herpes simplex virus consists of trifluridine eyedrops, vidarabine ointment, or oral acyclovir. A broad-spectrum antibiotic may prevent secondary bacterial infection. Dendritic keratitis may become chronic with recurrent episodes. Bacterial corneal ulcers require intense topical eyedrop instillation every half hour for the first 48 hours with 2 broad-spectrum antibiotics. Long-term topical therapy may be necessary. (Corticosteroid therapy is contraindicated in dendritic keratitis or any other viral or fungal disease of the cornea.) Fungal keratitis is treated with natamycin.
Exposure keratitis is treated with ointment at night and frequent instillation of artificial tears during the day. A plastic bubble shield may prevent tear evaporation. Vision may be restored by penetrating keratoplasty (corneal transplant) in blindness resulting from corneal scarring.
Source: Professional Guide to Diseases (Eighth Edition), 2005
With acute keratitis due to herpes simplex virus, treatment consists of trifluridine eyedrops or vidarabine ointment. A broad-spectrum antibiotic may prevent secondary bacterial infection.
Chronic dendritic keratitis may respond more quickly to vidarabine. Long-term topical therapy may be necessary. (Corticosteroid therapy is contraindicated in patients with dendritic keratitis or another viral or fungal disease of the cornea.) Treatment of fungal keratitis involves natamycin.
Keratitis due to exposure requires application of moisturizing ointment to the exposed cornea and of a plastic bubble eye shield or eye patch. Treatment of severe corneal scarring may include keratoplasty (cornea transplantation).
Source: Handbook of Diseases, 2003
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