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Volume II. Cornea, Cornea, Cornea: Tape 3: VIRAL KERATOCONJUNCTIVITIS (60 minute audio presentation plus 20 clinical photos) Side 1: Adenovirus - especially EKC Side 2: Primary Care of Herpes Simplex Keratitis

Volume II. Cornea, Cornea, Cornea: Tape 3: VIRAL KERATOCONJUNCTIVITIS (60 minute audio presentation plus 20 clinical photos) Side 1: Adenovirus - especially EKC Side 2: Primary Care of Herpes Simplex Keratitis

Volume II. Cornea, Cornea, Cornea: Tape 3: VIRAL KERATOCONJUNCTIVITIS (60 minute audio presentation plus 20 clinical photos) Side 1: Adenovirus - especially EKC Side 2: Primary Care of Herpes Simplex Keratitis

Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)
Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

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Review:

Launch date: 12 Jul 2014

Expiry Date:

Last updated: 18 Nov 2017

Reference: 126428

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Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

VIRAL KERATOCONJUNCTIVITIS
Description:
Audio discussion (with clinical photos) of the various types of viral infections that effect the cornea with an emphasis on epidemic keratoconjunctivitis (EKC) and epithelial Herpes simplex keratitis.
Course Outline:
CORNEA, CORNEA, CORNEA Part 3:
Viral Keratoconjunctivitis
I. Adenovirus
A. Aggravating factors include:
1. Sunlight (ultraviolet)
2. Trauma
3. Extreme heat or cold
4. Fever
5. Steroids
6. Systemic (or ocular) disease
7. Surgery
B. Subjective presentation
1. Discomfort ranges from mild to severe symptoms
2. Mild visual fluctuations (increasing with EKC)
3. Usually mild to moderate “burning” sensation
C. Objective presentation of adenoviral keratitIs

II. PRIMARY VS. RECURRENT HSV KERATITIS
A. Primary vs. recurrent duagnosis
1. HSV Epithelial Dendriform Keratitis (Infectious form)
2. HSV Metaherpetic Keratitis (Secondary to epith./infectious form)
3. HSV Stromal Keratitis (primary immune disease or secondary)
4. HSV Disciform Keratitis (edematous origin, etiology uncertain)
B. Management of recurrent epithelial form
1. Aggressive therapy with antiviral agents
a. Viroptic (trifluridine) drops
2. Dosage: q 1 to 2 h for 72 hrs.
3. Vira A (vidarabine) ointment at bedtime
2. Cycloplege and dilate
3. Prophylactic antibiotic (+/-)
4. Cold packs
5. NO STEROIDS !
C. Management metaherpes and other advanced forms
1. Consider referral to corneal specialist
2. Debridement of epithelium
3, All steps from epithelial form of HSV keratitis
4. Controlled use of topical steroid
5. Oral acyclovir
6. Bandage soft contact lens


Objectives

Objectives
1. To gain knowledge in identifying various types of corneal viral infection
2. To understand the clinical features of viral keratoconjunctivitis
3. To learn and review the management of primary herpes simplex keratitis
Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

Author Information Play Video Bio

Dr Louis (Lou) Catania O.D., F.A.A.O., D.Sc.(Hon)

This is the original Primary Eye Care Educational Series started in the 1980s and 90s to provide practitioners with diagnostic and management information on all the general conditions associated with the anterior segment. Some of the drug and treatment plans have varied over the years, but the diagnostic information remains constant and invaluable. When listening to the audio presentations, you will occasionally notice some of these medication changes and should investigate any updated therapies. But, between the diagnostic discussions and the associated clinical photos referenced and displayed (in Additional Course Notes section as pdf file) throughout the audio discussions, you will get a strong grounding and understanding in the basic primary care of most anterior segment disorders. The total series includes 11 hours of COPE CE approved audio discussions with 220 related clinical photos. Good stuff!
Author Bio:
> Internationally acclaimed clinical educator, author;
> Recognized expert in anterior segment, corneal disorders, refractive surgery and new eye care technologies;
> With Nicolitz Eye Consultants, a multispecialty ophthalmology group in Jacksonville, FL;
> Does clinical research on numerous eye care technologies;
> Voted one of 10 most influential optometrists of 20th century by the Review of Optometry Journal and 20/20 Magazine;
> 2013 Distinguished Service Award from the Ocular Surface Society of the American Optometric Association;
> 2013 Distinguished Service Award from the Optometric Glaucoma Society;
> 2014 Distinguished Service Award from the American Academy of Optometry;
> 2015 Primary Care Optometry News, “Pioneer in Optometry” Award

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

Faculty and Disclosures

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

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