Phlyctenular Keratoconjunctivitis

Phlyctenular Keratoconjunctivitis
		SYMPTOMS	Discomfort \| Photophobia
		SIGNS	White nodule on cornea and/or conjunctiva with associated engorged vessels \| Conjunctival injection \| Possible corneal scarring
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT	Combination antibiotic/steroid drop: Tobradex 1 gtt qid \| Zylet 1 gtt qid
		FOLLOW-UP	Every few days during treatment
		ADDITIONAL LAB \| TESTS	Consider tuberculosis testing: skin test (PPD) \| blood test (IGRA)
		ETIOLOGY	Hypersensitivity reaction to an infectious agent, such as S. aureus or mycobacterium tuberculosis
		DIFFERENTIAL DX	Pinguecula \| Pterygium \| Episcleritis \| Corneal ulcer \| Salzmann nodular degeneration
		NOTES	None