Originally Posted by
Dave Nelson
By the time I saw the patient, the infection had started. She saw me again early the next morning, had significant blood in the anterior chamber, and I referred her back to the ophthalmologist immediatly, although she was scheduled to see him later the same day. I felt hospital admission was indicated, but by then agressive antibiotic therapy was ineffective. I don't know if culture and sensitivity was done, or if any IV antibiotics were initiated, but next time I saw the patient, She was 24 hours post-op, and planning a visit to the ocularist. I have a limited knowlege of ocular TPAs, but even I know a corneal abrasion from an animal source requires both antibiotics and close observation.
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