OCULUS Pentacam Interpretation Manual page 169

23 Case reports from daily practice
She had been prescribed topical drops containing a combination of neomycin, polymixin B and
dexametasone, which she had used 4 times since the last night, obtaining mild improvement. The
patient was advised to discontinue contact lens use in both eyes and asked to stop the medication.
We decided to empirically start her on 4th generation fluoroquinolones, initiating treatment with an
attack dose of one drop every ten minutes during the first hour followed by hourly doses around the
clock. One day later she reported improvement in her vision as well as her other symptoms.
Figure 199: Scheimpflug Image of acorneal infiltrate 3 days later
Figure 200: Slit lamp photo of the same corneal infiltrate 3 days later
When the Pentacam® examination was repeated on day 3, the infiltrate was found to have decreased,
as seen in the Scheimpflug and slit lamp biomicroscopy images (Figure 199, Figure 200). She also
noted improvement in BSCVA in OS.
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