This protocol covers bacterial keratitis caused by Neisseria gonorrhoeae — gonococcal corneal infection. This organism drives a specific management framework that differs from standard bacterial keratitis because local treatment alone is insufficient.
Gonococcal keratitis can extend to the sclera or intraocular structures and may accompany systemic N. gonorrhoeae infection. These risks make systemic antibiotic therapy a required — not optional — component of care in this setting.
Management combines topical antibiotic therapy targeting gram-negative cocci with mandatory systemic antibiotic therapy. The systemic component is specifically required in gonococcal keratitis. The complete structured regimen — including agent selection and sequencing — is available via the link below.