Activity ID
8301Expires
June 3, 2024Format Type
Journal-basedCME Credit
1Fee
$30CME Provider: JAMA Ophthalmology
Description of CME Course
A 65-year-old man presents with right eye pain and purulent discharge. His medical history includes HIV managed by antiretroviral therapy. Examination of the right eye shows visual acuity of hand motions as well as purulent discharge, an inflamed conjunctiva, diffuse cornea opacification and thinning, and a flat anterior chamber. He has a 0.5-mm corneal perforation treated with corneal glue. He is treated with topical fortified vancomycin, tobramycin, intravenous levofloxacin, and doxycycline, but the purulent conjunctivitis and corneal stromal necrosis do not improve. What would you do next?
Disclaimers
1. This activity is accredited by the American Medical Association.
2. This activity is free to AMA members.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Allergy and Immunology
Anesthesiology
Colon and Rectal Surgery
Family Medicine
Medical Genetics and Genomics
Nuclear Medicine
Ophthalmology
Orthopaedic Surgery
Pathology
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry and Neurology
Radiology
Thoracic Surgery
Urology
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
Keywords
Clinical Challenge, Cornea, Sexually Transmitted Infections, External Eye Disease, Ophthalmology
Competencies
Medical Knowledge
CME Credit Type
AMA PRA Category 1 Credit
DOI
10.1001/jamaophthalmol.2020.5442