Microbial keratitis is a leading cause of corneal opacities and blindness. The prevalence of corneal infections is disproportionately distributed to low and middle income countries. These are also the regions which have limited access to a cornea service. Patients often self medicate or opt for alternative traditional medicines. In this scenario patients present late, often lost to follow up or present with an altered clinical picture. Infection with atypical microorganisms, mixed infection, and unusual clinical presentations are not uncommon. We discuss the clinical approach and management strategies to unusual microbial keratitis.
Lecturer: Dr. Aravind Roy, L V Prasad Eye Institute, India