This is an interesting patient who was referred in for recurrent corneal erosion syndrome.
Historically, he did have recurrent corneal erosion.
EXCEPT he developed acute bacterial keratitis, and vision dropped to CF (counting fingers). This is what he looked like on presentation.
When such patients come in, I am now able to give them an answer within the hour. I simply scrape and stain the cornea, and in this case, gram-positive rods indicated pseudomonas.
I have been able to pick up fungal infections, microsporidia and acanthamoeba very quickly this way.
Fortunately, this patient who drives a heavy vehicle, was able to commence the appropriate treatment within 2 hours of arriving, and 2 weeks later, vision returned to 6l15.
I hope he will get to 6l9 without needing any surgery.
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We can help
If you suffer from a corneal issue and think we can help, then you can request an appointment online or call the clinic on 1300 393 322. We have 2 Sydney locations for consultation, Westmead and the city on Macquarie Street opposite the Eye Hospital.