Marginal Keratitis

Clinical Features

• Symptoms: irritation, red eye, photophobia nad foreign body sensation.
• Signs:
  • Peripheral corneal infiltrates and/or ulceration
  • Usually parallel to limbus, separated by a clear corneal zone
  • Presents with marked conjunctival injection
  • Occurs in middle-aged patients but may occur at any age
  • Commonly associated with staphylococcal blepharoconjunctivitis, rosacea or phlyctenulosis

Treatments

• Directed at eliminating the bacterial colonization from the external ocular surface:
  • Lid hygiene
  • Antibiotic drops or ointment
• Topical steroids are sometimes required to treat acute infection and inflammation.