Clinical management of bacterial keratitis in the new era

Bacterial keratitis is a common infectious keratitis. Patients often end up with severe vision loss even after the infection is completely eradicated. With the increasing resistance of pathogens to antibiotics, treatment of bacterial keratitis has become increasingly difficult. Facing such an emerging challenge, the present review outlined recent clinical experience in the diagnosis and treatment of bacterial keratitis. In addition to a summary on practice standards in specimen collection, selection of common culture media and antibiotics, a new simple and efficacious antibiotic delivery method is introduced using continuous subpalpebral lavage for the treatment of severe and recalcitrant bacterial keratitis.