Cornea
Filamentary Keratitis
Also known as: corneal filaments, filamentary keratopathy
Filed as: Soon
Source-cited from the record's own evidence list. Clinical content programme led by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom. How the clinical content is governed
Clinical decision support only
OptoGuide™ supports professional judgement and does not diagnose or replace clinician responsibility.
Overview
Painful ocular surface disease with adherent mucus filaments, typically on a severe dry-eye background.
Recognition
Symptoms: what patients report
- Foreign body sensation
- Photophobia
- Pain with blinking
Signs: what the examination shows
- Corneal filaments
- Surface staining
- Conjunctival injection
What OptoGuide™ covers for filamentary keratitis
- Pattern reasoning: what this combination of findings points to, and its differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
Sources
- Dry eye — College of Optometrists Clinical Management Guideline
- Clinical characteristics and treatment of filamentary keratitis
- Anterior Eye Disease and Therapeutics A-Z (Bruce & Loughnan) — standard reference text
- Clinical Manifestation and Risk Factors Associated With Remission in Patients With Filamentary Keratitis. Lee SM, Jun RM, Choi KR, Han KE. American Journal of Ophthalmology. 2020;218:78-83.
- The Global Incidence and Diagnosis of Fungal Keratitis. Brown L, Leck AK, Gichangi M, Burton MJ, Denning DW. The Lancet. Infectious Diseases. 2021;21(3):e49-e57.
- A Review of Filamentary Keratitis. Weiss M, Molina R, Ofoegbuna C, Johnson DA, Kheirkhah A. Survey of Ophthalmology. 2022 Jan-Feb;67(1):52-59.
Standard texts: Kanski's Clinical Ophthalmology: A Systematic Approach, The Wills Eye Manual, Oxford Handbook of Ophthalmology, Oxford American Handbook of Ophthalmology, Signs in Ophthalmology: Causes & Differential Diagnosis.