Pearls for Managing Corneal Ulcers

In this interview from AAO 2017, Dr. Tom Lietman offers advice on how to treat corneal ulcers. He emphasizes that the most important step is to determine the etiology. For suspected bacterial ulcers, he empirically starts the patient on fourth-generation fluoroquinolones, holding off steroids until a bacterial infection is confirmed. Steroids are contraindicated for fungal infections, and are typically treated with topical natamycin.

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