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脷lceras e infecciones corneales - Treatment

Nombres alternativos

Queratitis por Acanthamoeba; Queratitis bacteriana; Queratitis mic贸tica; Queratitis por herpes simple

Tratamiento:

El tratamiento de las 煤lceras y las infecciones corneales depende de la causa y debe iniciarse lo m谩s pronto posible para prevenir cicatrizaci贸n de la c贸rnea.

Si la causa exacta se desconoce, los pacientes pueden empezar el tratamiento con gotas antibi贸ticas que sean efectivas contra muchas clases de bacterias.

Una vez que se sepa la causa exacta, se prescriben gotas para tratar bacterias, herpes, otros virus o un hongo.

Las gotas oft谩lmicas con corticosteroides pueden utilizarse para reducir la hinchaz贸n e inflamaci贸n en ciertas afecciones. Es posible que sea necesario tratar las 煤lceras graves con trasplante de c贸rnea.

El m茅dico tambi茅n puede recomendarle que:

  • Evite maquillarse los ojos
  • No utilice lentes de contacto del todo o que no los use en la noche
  • Tome analg茅sicos
  • Use un parche ocular para protegerse de la luz y ayudar con los s铆ntomas
  • Use gafas de protecci贸n

Las 煤lceras severas pueden necesitar tratamiento con trasplante de c贸rnea.

Expectativas (pron贸stico):

Muchas personas se recuperan por completo de las 煤lceras o infecciones corneales o solamente presentan un cambio menor en la visi贸n.

Sin embargo, una 煤lcera o infecci贸n corneal puede causar da帽o de la c贸rnea a largo plazo y llevar a un empeoramiento notorio de la visi贸n.

Complicaciones:

Las infecciones y 煤lceras corneales que no reciben tratamiento pueden llevar a:

  • P茅rdida del ojo (infrecuente)
  • P茅rdida considerable de la visi贸n
  • Cicatrices en la c贸rnea

Situaciones que requieren asistencia m茅dica:

Consulte con el m茅dico si:

  • Tiene s铆ntomas de una infecci贸n o 煤lceras corneales
  • Le han diagnosticado esta afecci贸n y sus s铆ntomas empeoran despu茅s del tratamiento
  • Reviewed last on: 7/28/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Sharma R, Brunette DD. Ophthalmology. In: Mark JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 69.

McLeod SD. Bacterial keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.12.

McLeod SD. Fungal keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.13.

Tuli SS. Herpes simplex keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.15.

Soukiasian S. Peripheral ulcerative keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.16.

Bouchard CS. Noninfectious keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.17.

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