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- Title
Purulent Conjunctivitis and Progressive Corneal Stromal Necrosis.
- Authors
Alsoudi, Amer F.; Haq, Zeeshan; Seitzman, Gerami D.
- Abstract
A 65-year-old man presents with right eye pain and purulent discharge. His medical history includes HIV managed by antiretroviral therapy. Examination of the right eye shows visual acuity of hand motions as well as purulent discharge, an inflamed conjunctiva, diffuse cornea opacification and thinning, and a flat anterior chamber. He has a 0.5-mm corneal perforation treated with corneal glue. He is treated with topical fortified vancomycin, tobramycin, intravenous levofloxacin, and doxycycline, but the purulent conjunctivitis and corneal stromal necrosis do not improve. What would you do next?
- Publication
JAMA Ophthalmology, 2021, Vol 139, Issue 8, p908
- ISSN
2168-6165
- Publication type
journal article
- DOI
10.1001/jamaophthalmol.2020.5442