Keratitis

Abstract

Keratitis is an inflammation of the cornea caused by bacteria, viruses and fungi. Keratitis can be classified based on the layer of the cornea affected, such as superficial and deep keratitis, or based on the cause, namely keratitis due to reduced tear secretion, keratitis due to drug poisoning, keratitis allergic reaction, infection, immune reaction, reaction to chronic conjunctivitis. This report describes the case of a 44 years old man who came with the main complaint, his left eye felt painful/stinging since ± 3 months ago. Pain in the left eye worsens when the patient leaves the house and is exposed to sunlight, complaints become mild if the patient is not exposed to sunlight. The patient's complaint initially arose after a foreign object entered the patient's eye, after which surgery was carried out, a week after the operation the patient's eye felt painful again. Ophthalmic status examination revealed a decrease in the left visual acuity from 6/12 to 6/18 ± 2 months after surgery, the bulbar conjunctiva was hyperemic, and the cornea was cloudy. The patient was diagnosed with keratitis et. causa oculi sinistra bacteria. In management, patients are given education to avoid direct exposure to sunlight/dust, avoid rubbing their eyes, and use protective glasses every time they leave the house. The pharmacological management given is in the form of antibiotics, cycloplegics, painkillers and H2 receptor antagonists.