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Corticosteroids for bacterial keratitis: who gets them?

P SEUDOMONAS IS AN IMPORTANT CAUSE OF sight-threatening keratitis worldwide. Although other Pseudomonas species may cause keratitis, Pseudomonas aeruginosa is the principal culprit. Little progress has been made recently in the management of Pseudomonas keratitis other than recognition of contact lens wear as a major risk factor, the introduction of treatment with fluoroquinolone antibiotics, and the emerging use of molecular diagnostics. Indecision lingers among ophthalmologists on the use of topical corticosteroids in treating bacterial keratitis.