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Controversies |

Rationale for Adjunctive Topical Corticosteroids in Bacterial Keratitis

Holly B. Hindman, MD; Sheel B. Patel, MD; Albert S. Jun, MD, PhD
Arch Ophthalmol. 2009;127(1):97-102. doi:10.1001/archophthalmol.2008.504.
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Bacterial keratitis is a major cause of vision loss worldwide.1Despite the development of newer broad-spectrum antibiotics, the scope of the problem appears to have grown in the United States, where the incidence of ulcerative keratitis was found in a community-based study to have increased by 435% from 1950 to 1988.2This rise may have been secondary to prior underreporting of bacterial keratitis but notably also occurred during a period of growth of 1 important risk factor: contact lens wear.3

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