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i. If the patient requires only modification of the topical antibiotics, then he/she can be
treated as outpatients.

c. Day Care
Not applicable

D) Referral criteria:

Not applicable

VI. WHO DOES WHAT? AND TIMELINES

a. Doctor

 Patient History is taken and a Clinical Examination performed

 Corneal infective material is obtained by scrapping and smear are prepared and also
materials are inoculated directly onto culture media
 Documenting the medical record
 Plan treatment guidelines and perform surgery if necessary.
 Monitoring, publication and reporting to department of health if there is an epidemic

of drug resistant pathogen and iatrogenic corneal ulcer (Contact lens, refractive Surgery
related)

b) Nurse/Technician

 Prepare Slide, Media for smear and culture
 To monitor the patients who are admitted regarding application of eye drops and
ensure compliance

 To maintain separate inpatient and outpatient record
 To maintain lab reports

VII. FURTHER READING / REFERENCES

1. Garg P, Sharma S, Rao GN. Ciprofloxacin-resistant Pseudomonas keratitis [Internet].
Ophthalmology. 1999 ;106(7):1319-1323.Available from:
http://www.ncbi.nlm.nih.gov/pubmed/10406614

2. Prajna NV, Mascarenhas J, Krishnan T, Reddy PR, Prajna L, Srinivasan M, et al.
Comparison of natamycin and voriconazole for the treatment of fungal keratitis
[Internet]. Archives of Ophthalmology. 2010 ;128(6):672-678.Available from:
http://www.ncbi.nlm.nih.gov/pubmed/20547942

3. Srinivasan M, Gonzales CA, George C, Cevallos V, Mascarenhas JM, Asokan B, et al.
Epidemiology and aetiological diagnosis of corneal ulceration in Madurai, south India

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