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Patient case
Keratitis

Keratitis

Patient details
- Name: Mrs. FC - Age: 30 years - Gender: Female - Ethnicity: Mandinka - Occupation: Market vendor - Residence: Urban area in Senegal
Patient case fields
Presenting Complaints

- Severe eye pain and redness in the left eye for 3 days

- Photophobia, excessive tearing, blurred vision

 

 

 

Medical History

- Family History: No significant eye diseases

- Personal History: Generally healthy, occasional allergies

Examination Findings

- Visual Acuity: Right eye: 20/20, Left eye: 20/80

- Slit-Lamp Examination: Left eye shows corneal opacity with feathery edges, conjunctival injection, moderate anterior chamber reaction; right eye normal

- Fundoscopy: Normal in both eyes

- Intraocular Pressure (IOP): Within normal limits in both eyes

 

Diagnosis:

- Bacterial Keratitis in the left eye

Management Plan
  1.  Medication:

- Topical antibiotics (Fluoroquinolone) hourly

- Cycloplegic agent (Atropine) for pain relief and prevention of complications

  1. Follow-Up:

- Daily for the first week, then weekly until symptoms resolve

  1. Education:

- Emphasize adherence to medication

- Avoidance of contact lens use

- Prompt reporting of worsening symptoms

 

Discussion

Challenges:

- Limited access to specialized eye care

- Environmental factors contributing to infection

Public Health Needs:

- Community awareness on eye hygiene and symptoms of keratitis

- Training for healthcare providers in early diagnosis and management

- Promotion of protective eyewear in high-risk occupations

Conclusion:

Effective management and education are critical in treating keratitis in patients like Mrs. FC, underscoring the importance of improved healthcare access and preventive measures in sub-Saharan Africa.

Questions
1. What is the main complaint of Mrs. FC?

A). Double vision

B). Severe eye pain and redness

C). Sudden vision loss

D). Eye itching

 

 

 

 

 

 

 

 

 

 

 

 

2. How long has Mrs. FC, been experiencing her symptoms?

A). 1 day

B). 3 days

C). 1 week

D). 2 weeks

3. What is Mrs. FC’s’s occupation?

A). Teacher

B). Farmer

C). Market vendor

D). Nurse

4. What was Mrs. FC’s visual acuity in the left eye?

A). 20/20

B). 20/40

C). 20/60

D). 20/80

5. Which eye showed signs of keratitis in Mrs. FC’s?

A). Right eye

B). Left eye

C). Both eyes

D). Neither eye

6. What findings were observed in the slit-lamp examination of Mrs. FC’s left eye?

A). Retinal detachment

B). Corneal opacity with feathery edges, conjunctival injection, moderate anterior chamber reaction

C). Optic nerve atrophy

D). Macular oedema

 

 

7. What is the diagnosis for Mrs. FC’s?

A). Glaucoma

B). Cataract

C). Bacterial Keratitis

D). Diabetic retinopathy

 

 

 

8. What medications were prescribed to Mrs. FC?

A). Oral antibiotics and antihistamines

B). Topical antibiotics (Fluoroquinolone) and cycloplegic agent (Atropine)

C). Eye drops for dry eyes

D). Anti-inflammatory eye drops

9. What is a key environmental factor contributing to Mrs. FC’s condition?

A). High altitude

B). Excessive sunlight exposure

C). Air pollution

D). Indoor heating

 

 

 

10. What public health measure is suggested to improve eye care in Mrs. FC’s community?

A). Distribution of free sunglasses

B). Vaccination campaigns

C). Dental check-up camps

D). Blood pressure screening

Reveal answers

Answers

  1. B). Severe eye pain and redness
  2. B). 3 days
  3. C). Market vendor
  4. D). 20/80
  5. B). Left eye
  6. B). Corneal opacity with feathery edges, conjunctival injection, moderate anterior chamber reaction
  7. C). Bacterial Keratitis
  8. B). Topical antibiotics (Fluoroquinolone) and cycloplegic agent (Atropine)
  9. B). Excessive sunlight exposure
  10. A). Distribution of free sunglasses