Treatment of Epidemic Keratoconjunctivitis in the Presence of a Pseudomembrane
Epidemic keratoconjunctivitis can present with a pseudomembrane on the conjunctiva. This finding defines a specific clinical scenario that calls for a targeted management approach.
Clinical Scenario
The patient presents with epidemic keratoconjunctivitis and a pseudomembrane. Evidence indicates that when corticosteroids are considered in EKC, they are often reserved until patients present with a pseudomembrane or symptomatic subepithelial infiltrates — making this presentation a key clinical threshold.
Management Approach (partial)
Management involves a direct procedural step addressing the pseudomembrane, followed by a course of topical steroid therapy. The complete sequence, duration, and full regimen are available in the structured protocol.
Full protocol details are one click away →
References
DOI: 10.1016/j.optom.2012.08.003
- When corticosteroids are used, they are often reserved until patients present with a pseudomembrane or symptomatic subepithelial infiltrates
- Peel pseudomembrane
- Topical steroids for 1 week, then taper
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