PMID: 8600426Mar 1, 1996Paper

Differential care of corneal ulcers in the community based on apparent severity

Ophthalmology
S D McLeodM A Viana

Abstract

To describe current practice patterns in treating infectious keratitis. A questionnaire was designed that asked ophthalmologists to describe the diagnostic equipment accessible to their practice for performing smears and obtaining scrapings for microbial culture and sensitivity testing. The questionnaire also presented two hypothetical cases of patients with infectious keratitis. Bacterial keratitis was relatively early and less severe in the first patient, and it was more advanced and more severe in the second patient. Recipients were asked about their diagnostic and therapeutic approach. The survey was mailed to 300 ophthalmologists in Florida, Illinois, and New York. One hundred twenty-four completed surveys (45%) were returned. Six surveys were from cornea specialists, who were excluded from the analysis. Only 18 practices (15%) maintained access to Gram stain supplies, and 58 (50%) maintained culture supplies. Whereas 56% of respondents would treat the patient with the less severe bacterial keratitis without obtaining samples for cultures, only 13% would treat the patient with the more severe condition in this manner (P<0.00001). Of the respondents, 82% would treat the patient with the less severe bacterial keratitis with ...Continue Reading

References

Nov 15, 1992·American Journal of Ophthalmology·P J McDonnellM Trousdale
Jan 1, 1990·International Ophthalmology Clinics·J P Whitcher
Sep 21, 1989·The New England Journal of Medicine·E C PoggioK R Kenyon

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Citations

Jul 16, 1999·Ophthalmology·P GargG N Rao
Jan 1, 2004·Cornea·Kirk R Wilhelmus, Barry A Schlech
Dec 18, 2004·Cornea·Jeane Haidee Mah-SadorraElisabeth J Cohen
Jan 2, 2007·Cornea·Mark C VitalJeffrey D Lanier
Jun 30, 2000·The British Journal of Ophthalmology·S J Tuft, M Matheson
Jun 19, 2003·The British Journal of Ophthalmology·B H Jeng, S D McLeod
Sep 1, 2012·PloS One·Hsin-Chiung LinHung-Chi Chen
Jul 15, 1999·Journal of Cataract and Refractive Surgery·D S LamZ Wang
Nov 15, 2014·Seminars in Ophthalmology·Sameh S MandourHassan G Farahat
Sep 24, 2014·American Journal of Ophthalmology·Kaivon Pakzad-VaeziSimon P Holland
Dec 24, 2014·Eye & Contact Lens·Jennifer ParkDavid C Gritz
Dec 3, 2003·Clinical & Experimental Ophthalmology·Penny J McAllum, Charles N J McGhee
Jul 26, 2017·The British Journal of Ophthalmology·Varsha M RathiPrashant Garg
Dec 12, 2017·BMJ Open Ophthalmology·Ariana AustinJennifer Rose-Nussbaumer
Oct 21, 2017·Cornea·Michelle Y PengJennifer Rose-Nussbaumer
Mar 13, 2002·Paediatric Drugs·Serina StrettonMark D P Willcox
Nov 20, 2009·European Journal of Ophthalmology·Bhavna ChawlaGita Satpathy
Feb 17, 2000·The Annals of Pharmacotherapy·T L ThielenJ E Terry
Mar 15, 2003·European Journal of Ophthalmology·N M PharmakakisJ X Koliopoulos
Feb 15, 2021·Acta Ophthalmologica·Yesha S ShahFasika A Woreta
Aug 31, 2021·The Ocular Surface·Lawson Ung, James Chodosh

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