TREATMENT OF CORNEAL ABSCESS

 A corneal abscess is a serious infection of the cornea that occurs when bacteria or other microorganisms penetrate the cornea and cause an accumulation of pus within the cornea. The condition can cause severe pain, blurred vision, and even blindness if not treated promptly and effectively.

Treatment Overview

The treatment of corneal abscess typically involves the use of antibiotics or antifungal medications, and surgery in more severe cases to drain the abscess and remove any dead tissue.

Topical Antibiotics and Antifungal Medications

  • Topical antibiotics are the primary treatment for bacterial corneal abscess. The most commonly used antibiotics include:
    • Drops or ointments containing antibiotics such as amikacin, ciprofloxacin, gatifloxacin, levofloxacin, ofloxacin, and vancomycin.
    • Polymyxin B/trimethoprim and fortified antibiotics (such as vancomycin, ceftazidime, or gentamicin) are commonly used when the corneal abscess is caused by antibiotic-resistant bacteria.
  • Topical antifungal medications are used to treat fungal corneal abscess. The most commonly used antifungal agents include:
    • Natamycin (Natacyn) is the first-line therapy for fungal corneal abscess.
    • Nystatin, amphotericin B, and fluconazole can also be used as alternative medications.

Surgery

  • In cases of severe or progressive corneal abscess, surgery may be required to drain the abscess and remove any dead tissue.
  • Corneal abscess drainage is a surgical procedure that involves making a small incision in the cornea to allow the pus to drain out, followed by irrigation and de

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