Overview

An inflammation of the cornea, which is the transparent, dome-shaped tissue covering the iris and pupil in the front of the eye, is known as keratitis. An infection may or may not be linked to keratitis. A very mild injury, such as using contact lenses for an extended period of time or putting a foreign body in the eye, might result in noninfectious keratitis. It is possible for bacteria, viruses, fungi, and parasites to cause infectious keratitis.

Make an appointment to see an eye doctor if you experience other symptoms of keratitis, such as redness in your eyes. Mild to moderate cases of keratitis are typically efficiently treated without requiring vision correction if treated promptly. Untreated keratitis can result in dangerous complications that could permanently harm your eyesight, especially if the infection is severe.

Symptoms

These are the symptoms of keratitis:

  • Red eyes
  • Pain in the eyes
  • Excessive tear production or other eye discharge
  • The sensation of something being in your eye
  • Having trouble opening your eyelid due to discomfort or irritability
  • Blurring of eyesight
  • Visual deterioration
  • Photophobia (sensitivity to light)

Make an appointment to see an eye doctor straight immediately if you have any of the symptoms associated with keratitis. Late detection and management of keratitis may result in severe consequences, such as visual impairment.

Causes

Possible causes of keratitis includes:

  • Contaminated water.When you swim, bacteria, fungi, and parasites in the water—especially in rivers, lakes, and hot tubs—can get into your eyes and cause keratitis. A healthy cornea is unlikely to become infected, even if you are exposed to these organisms, unless there has already been a breakdown of the corneal surface, such as by wearing contact lenses for an extended period of time.
  • Bacteria, fungi or parasites.These organisms could exist on the surface of a contact lens or its carrying case. When the lens is within your eye, it can contaminate the cornea and cause infectious keratitis. Both infectious and noninfectious keratitis can be brought on by improper contact lens care or contact lens overwear.
  • Viruses.Keratitis may result from the herpes viruses, specifically herpes simplex and herpes zoster.
  • Bacteria.Pseudomonas, streptococcus, and staphylococcus are common bacteria that cause keratitis.
  • Injury. Anything that scrapes or damages the surface of your cornea could cause noninfectious keratitis. Furthermore, an injury could provide microbes access to the cornea, leading to infectious keratitis.

Risk factors

The following variables may raise your chance of developing keratitis:

  • Eye injury.You can be more susceptible to getting keratitis if you have already had damage to one of your corneas.
  • Contact lenses.Your risk of developing both infectious and noninfectious keratitis increases if you wear contact lenses, especially if you sleep with them in. Usually, wearing them longer than advised, not properly disinfecting them, or using contact lenses while swimming are the causes of the risk.

Those who wear contacts on a daily basis and remove them at night are less likely to get keratitis than those who use extended-wear contacts, or wear them constantly.

  • Weak immune system.You have an increased chance of getting keratitis if you have an illness or are taking medication that compromises your immune system.
  • Corticosteroid use. Corticosteroid eye drops can worsen pre-existing keratitis or raise your risk of getting infectious keratitis if you use them to treat an eye condition.

Diagnosis

The following are usually involved in the diagnosis of keratitis:

  • Eye exam.It’s crucial to have your eyes examined by your eye doctor, even though opening your eyes for the examination could hurt.
  • Penlight exam.Using a penlight, your eye doctor may inspect your eye to measure the size, response, and other characteristics of your pupil. It’s possible to discolor the outside of your eye. When combined with light, this stain helps to highlight corneal surface damage.
  • Slit-lamp exam.A slit lamp is a specialized tool that your eye doctor will use to examine your eyes. It offers a strong light source and magnification to identify the kind and severity of keratitis as well as any potential effects on other eye structures.
  • Fluorescein stain test. Your eye will be dyed by your eye doctor, who will then examine it under a blue lamp.
  • Laboratory analysis.In order to identify the cause of your keratitis and assist in making a treatment plan, your eye doctor may remove a sample of tears or some corneal cells for laboratory investigation.

Treatment

Noninfectious keratitis

The degree of noninfectious keratitis determines the course of treatment. For instance, artificial tear drops could be the only treatment for mild discomfort resulting from a corneal scratch. However, topical eye drugs can be required if severe tears and pain are being caused by keratitis.

Infectious keratitis

Depending on the infection’s source, there are different approaches to treating infectious keratitis.

  • Bacterial keratitis.The main course of treatment for bacterial keratitis is antibiotic eye drops. Drop frequency can vary from about four times per day to every thirty minutes, even at night, depending on how severe the infection is. Oral antibiotics are occasionally added as supplements.
  • Viral keratitis.Antiviral eye drops and oral antiviral drugs may be useful if a virus is the source of the infection. Other viruses just require supportive measures, like artificial tears.
  • Fungal keratitis.Antifungal eye drops and oral antifungal drugs are usually needed for fungal-induced keratitis.
  • Acanthamoeba keratitis.Treatment for keratitis brought on by the parasite acanthamoeba might be challenging. Although antiparasitic eye drops are utilized, treatment for some acanthamoeba infections may take many months due to their resistance to medication. A corneal transplant may be necessary in severe cases of acanthamoeba keratitis.

Your eye doctor can suggest a corneal transplant if your keratitis is unresponsive to treatment or if it results in irreversible corneal damage that seriously reduces your vision.

Doctors who treat this condition