Condition Instance

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{
    "id": 24,
    "url": "https://cclm.media-doc.io/conditions/24/?format=api",
    "name": "Microbial Keratitis",
    "category": "Cornea",
    "detail": "<p>Corneal ulcer, infectious keratitis, ulcerative keratitis, corneal infection</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Acute severe pain</li>\n\t<li>Extreme redness &ndash; usually all quadrants</li>\n\t<li>Epiphora and photophobia</li>\n\t<li>No improvement with lens removal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Localized corneal excavation, penetrating into the stroma, with underlying infiltrate and surrounded by edema</li>\n\t<li>Generally central or paracentral, large (&gt;1mm), irregular appearance</li>\n\t<li>Typically unilateral</li>\n\t<li>Severe hyperemia and possibly lid edema.</li>\n\t<li>Mucopurulent or watery discharge, aqueous flare often present</li>\n\t<li><a href=\"/condition/2\">Also see&nbsp;Acanthamoeba&nbsp;Infection</a></li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Infection with epithelial disruption</li>\n\t<li>Most virulent pathogens are&nbsp;<em>Pseudomonas aeruginosa</em>&nbsp;and&nbsp;<em>Acanthamoeba</em></li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare</li>\n\t<li>Higher prevalence in EW of soft lenses</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/20\">Corneal Infiltrates</a> ,<a href=\"/condition/6\">CLPU</a> &nbsp;and other staining patterns</li>\n\t<li><a href=\"/condition/66\">See: Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear immediately</li>\n\t<li>Consider culturing before initiating antibiotic therapy, particularly for large central ulcers</li>\n\t<li>Instigate topical antibiotic treatment immediately. Follow up daily until resolved</li>\n\t<li>Replace all lenses and lens care products including lens case before recommencing lens wear</li>\n\t<li>Further lens wear should be restricted and be undertaken cautiously</li>\n\t<li>Further EW inadvisable and may recommend DW</li>\n</ul>",
    "images": [
        {
            "name": "Microbial Keratitis",
            "file": "https://cclm-static.s3.amazonaws.com/images/microbial-keratitis-01_zoom.jpg"
        },
        {
            "name": "Microbial Keratitis",
            "file": "https://cclm-static.s3.amazonaws.com/images/microbial-keratitis-02_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [
        {
            "name": "Microbial Keratitis Microbial Keratitis - Central with Hypopyon",
            "videoSrc": "248362131"
        }
    ],
    "wear": false,
    "ceaseWear": true,
    "changeLens": false,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": false,
    "replace": false,
    "review": true,
    "rewettingDrops": false,
    "rx": true,
    "SiHy": false,
    "toric": false,
    "tags": []
}