علاج التهاب القرنية البكتيري المعقد بترقق السدى القرني أو خطر الثقب

References

1. Additional treatment is necessary in cases where the integrity of the eye is compromised, such as when there is an extremely thin cornea, impending or frank perforation, progressive or unresponsive disease, or endophthalmitis.
2. Oral antibiotics in the tetracycline class (including doxycycline and minocycline) and N-acetylcysteine could be used to counteract corneal stromal thinning by inhibiting matrix metalloproteinases, but there are limited data on their use for the management of infectious keratitis.
3. Application of tissue adhesive, penetrating keratoplasty, and lamellar keratoplasty are among the other treatment options for progressive corneal stromal thinning.
4. Amniotic membrane transplantation and conjunctival flap may be used in cases refractory to medical treatment.
5. Cross-linking may be beneficial in cases of bacterial keratitis refractory to medical therapy.