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Corneal infections

Corneal infections can be bacterial , viral, fungal, parasitic.

How do these germs get into the cornea?

Contact lenses - which have not been disposed off at the recommended time, worn for very long hours, especially while sleeping. Plain water, instead of proper solutions , have been used to wash or store the lenses. All these predispose to corneal infections. Acanthamoeba infections are most common.
Dust getting into the eye, with the wind, and dust particles getting embedded into the cornea, bacterial or fungal infections may arise.
Accidental injury to the eye, wood particles entering into eyes of carpenters, metal pieces in the eyes of factory workers, eye injury in motor vehicular accidents, getting infected with the germs on the road, coconut shells flying off into eyes, farmers getting injured with branches.....All these may cause bacterial or fungal corneal  ulcers.
Associated with infections in surrounding area as in Herpes Zoster infection, which is more likely in people with diabetes, AIDS, and other Immuno-Compromised conditions. 
Associated with Leprosy, in which corneal sensations are decreased.

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Symptoms of corneal infection 

Redness, 
Pain in the eye, 
Watering, 
Photophobia- inability to open eye in normal light, 
A white spot in the eye.

What should one do?

Go to the ophthalmologist or the available eye care professional urgently. Treatment should be started right away.

What will he do?

The ophthalmologist will examine your eye, with a torch light and with a slit-lamp. He may take a 'scrape' of the infected area to  identify the infecting organisms under the microscope and see which drugs are effective against them. The report may come in later, but the treatment is started immediately. Follow-up is important.

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Management -

WARNING !- NEVER use steroid drops, without doctor's approval. They decrease the immunity of the eye to fight against germs and can be dangerous. They may give temporary 'relief', but BEWARE!

Flow Chart 1

Flow Chart 2

 

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