What Are Common Corneal Infections?

This is for informational purposes only. For medical advice or diagnosis, consult a professional. The most common corneal infections, which can lead to discomfort, pain, and vision problems, are generally caused by bacteria, viruses, fungi, or parasites. Some of the most frequent types include:

1. Bacterial Keratitis

  • Cause: Often due to contact lens use, trauma to the eye, or preexisting conditions like dry eye.
  • Symptoms: Redness, pain, blurred vision, eye discharge, and light sensitivity.
  • Common Pathogens: Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus species.

2. Viral Keratitis

  • Cause: Viral infection, typically by the herpes simplex virus (HSV) or varicella-zoster virus (VZV).
  • Symptoms: Pain, redness, blurred vision, tearing, and light sensitivity. In some cases, recurrent infection can lead to scarring.
  • Common Pathogens:
    • Herpes Simplex Virus (HSV): Causes the most common viral keratitis.
    • Varicella-Zoster Virus (VZV): Leads to shingles (herpes zoster) affecting the cornea.

3. Fungal Keratitis

  • Cause: Often from injury with organic matter, or in immunocompromised individuals.
  • Symptoms: Eye redness, pain, blurred vision, discharge, and corneal opacity.
  • Common Pathogens: Fusarium species, Aspergillus species, and Candida species.

4. Acanthamoeba Keratitis

  • Cause: Typically in contact lens wearers, especially those who use tap water or do not properly clean their lenses.
  • Symptoms: Severe pain, sensitivity to light, blurred vision, redness, and tearing. It can be difficult to diagnose and treat.
  • Risk Factors: Contact lens wear, especially in unclean or contaminated environments (e.g., swimming pools, lakes).

5. Chlamydial Keratitis

  • Cause: Infection from Chlamydia trachomatis, which can cause trachoma, a leading cause of blindness worldwide.
  • Symptoms: Redness, pain, photophobia, and a sensation of a foreign body in the eye.
  • Transmission: Often through contact with infected secretions, especially in developing regions.

6. Noninfectious Keratitis (Inflammatory)

  • Cause: Inflammation of the cornea without a microbial infection, which can be due to conditions such as dry eye, allergies, or trauma.
  • Symptoms: Redness, pain, blurred vision, and sensitivity to light.

Risk Factors for Corneal Infections:

  • Contact lens use (especially extended wear)
  • Trauma or injury to the eye
  • Poor hygiene (e.g., improper contact lens care)
  • Immunocompromised states (e.g., diabetes, HIV, or organ transplant recipients)
  • Exposure to contaminated water (e.g., swimming in lakes or using unclean water for contact lenses)

Treatment:

It’s important to have your eyes checked regularly by a qualified eye care professional. The treatment for corneal infections varies depending on the cause. Bacterial infections typically require antibiotics, viral infections may be treated with antivirals, and fungal infections are addressed with antifungals. Acanthamoeba keratitis may require a combination of treatments, including anti-protozoal agents.

Early diagnosis and prompt treatment are critical to prevent complications such as scarring or permanent vision loss for that it’s important to consult with a qualified professionalophthalmologist for any concerns.