Ocular treatment include topical steroids , fusidic acid and systemic tetracyclin. Tear film deficiency is also seen in sarcoidosis, familial dysautonomia, mucucutaneous syndromes like Stevens-Johnson and cicatricial pemphigoid where there is inflammation and scarring in the conjunctiva, affecting goblet cell secretion of the mucoid layer of the tear film. Few pathogens only are able to produce corneal infection in the presence of intact epithelium. These are N.Gonorrhea, Corynebacterium diphtheria, Listeria and Haemophilus. Aqueous flare,however, which results from leakage of proteins from damaged vessels,does not necessarily reflect the activity of the . disease.
Treatment includes steroids, cytotoxic agents and cryotherapy.
Common symptoms are floaters and decreased vision if the fovea or papillomacular bundle are involved. Steroids are used to decrease the inflammatory response. Vitrectomy is reserved with patients with LP vision Evisceration might also be the last resort for those unfortunate, with NLP vision . The patient presents with severe pain , nausea, vomitting, and rapidly progressive decrease in vision. Treatment includes intravenous acetazolamide or hyperosmotic agents like mannitol.