Pseudomonas keratitis with satellite lesions: an unusual presentation

Abstract
Keratitis caused by Pseudomonas spp is characterised by a rapidly progressive course, with suppurative infiltrate that results in the breakdown of collagen with subsequent melt and perforation.1 Satellite lesions, which are a characteristic of fungal keratitis,2 have not been described with this organism. We report three cases of culture proven Pseudomonas keratitis that presented with satellite lesions (figures 1 and 2). Figure 1 Slit-lamp photograph (of the right eye) of patient 1 showing satellite lesions. The superior lesion was superficial; others are at a deeper level. Figure 2 Slit-lamp photograph (of the right eye) of patient 2 showing multifocal lesions. All three patients presented with complaints of pain, redness, watering and decrease in vision (table 1). None of them were contact lens wearer. Slit-lamp biomicroscopic examination showed central epithelial defect associated with underlying stromal infiltrate. The surrounding cornea showed intense cellular reaction …