TOPIC: KERATITIS

SUBMITTED TO SUBMITTED ON SUBMITTED BY

Ms. Pallavi Sharma 22th February 2024 Mr. Aaqib Mushtaq
Tutor (child health nursing ) M.Sc. Nursing 1st year
Rajiv Gandhi college of Nursing, Jammu RGCN, Jammu
IDENTIFICATION DATA
  NAME OF STUDENT TEACHER: Aaqib Mushtaq
 Class : Msc Nursing 1st year (child health nursing )
 Subject : Nursing education
 Topic : Keratitis
 Group : Post basic Bsc Nursing 1st year
 DATE : 22-02-2024
 Duration : 25-35 minutes
 Venue : classroom
 Av –aids : chart , PPT, flash cards
 Teacher evaluator : Ms Pallavi Sharma
LEARNING OBJECTIVES
General Objectives:
At the end of the class the students will be able to provide students with a comprehensive understanding of keratitis . The lecture aims to equip
students with the knowledge and skills to articulate clear and effective understanding of topic , they will also be able to use this knowledge in their
academic and clinical field

Specific objective
 To Introduce the topic keratitis
 To Defines the keratitis
 To describes epidemiology of keratitis
 To Explain causes and risk factors of keratitis
 To explain Pathophysiology of keratitis
 To explain clinical features o keratitis
 To explain diagnostic criteria of keratitis
 To discuss management of keratitis
 To discuss complications of keratitis
 To discuss prevention of keratitis
S.NO. TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITES WITH A.V AIDS
S

O1 3o sec To introduce Self introduction

oneself
Myself Aaqib Mushtaq , I am from Msc 1st year to
deliver my presentation topic
To announce Announcement of topic :
02 30 sec Student teacher announced the
the topic
Today I will discuss a topic in Keratitis in front of topic with the help of black board
you
03 2 min
To Introduces Introduction
Student teacher introduced the topic
the topic
 Keratitis is an inflammatory condition that with the help of PPT , Flash card
affects the cornea of your eye and blackboard
 The cornea main function is to refract or bend
light
 The cornea is responsible for focusing most of
the light that enters the eye
 Keratitis is a common condition
 Keratitis is more common in people who use
extended-wear contacts, or wear contacts
continuously, than in those who use daily
wear contacts and take them out at night.

04 O2 min To Define the Definition

topic Keratitis is defined as an inflammation of the cornea , Student teacher defines the topic
Define keratitis?
the outermost part of the eye that covers the pupil and with the help of PPT
iris (the colored ring around the pupil)
(or)
Keratitis is an inflammation of the cornea , the clear
dome shaped tissue on the front of your eye that
covers the pupil and iris
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY EVALUATION
OBJECTIVES
WITH AV-AIDS

05 03 min To describe the

epidemiology All age groups , most common in 10-20 year age Student teacher discussed Describe the
of keratitis group epidemiology of keratitis with the help epidemiology of
of PPT keratitis ?
Incidence : The incidence of fungal keratitis is low (6
to 20%) compared to bacterial keratitis in various
studies of microbial keratitis especially in the
developed countries

30000 cases reported annually in USA

Causes of keratitis include:

To elaborate Student teacher elaborates the causes Elaborate causes of
O6 04 min
causes of Injury. If any object scratches or injures the surface of keratitis with the help of PPT keratitis ?
keratitis of your cornea, noninfectious keratitis may result. In
addition, an injury may allow microorganisms to gain
access to the damaged cornea, causing infectious
keratitis.

Bacteria, fungi or parasites. The cornea may

become contaminated when the lens is in your eye is
contaminated resulting in infectious keratitis. Poor
contact lens hygiene or contact lens over wear can
cause both noninfectious and infectious keratitis.

Viruses. The herpes viruses — herpes simplex and

herpes zoster — may cause keratitis.

Bacteria. Staphylococcus, streptococcus and

pseudomonas are common bacteria involved in
keratitis.

Contaminated water. Bacteria, fungi and parasites

in water , rivers, lakes and hot tubs can enter your
eyes when you're swimming and result in keratitis.
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY EVALUATION
OBJECTIVE WITH AV -AIDS

07 3minutes To explain the The student teacher explains the risk Explain risk factors
risk factors of factors of keratitis with the help of of keratitis?
Risk factors
keratitis PPT
Factors that may increase your risk of keratitis
include:

 Contact lenses. Wearing contact lenses —

especially sleeping in the lenses —increases your
risk of both infectious and noninfectious keratitis.
The risk typically stems from wearing them
longer than recommended, improper disinfection
or wearing contact lenses while swimming.
 Reduced immunity. If your immune system is
weakened due to disease or medications, you're at
higher risk of developing keratitis.
 Corticosteroids. Use of corticosteroid eye drops
to treat an eye disorder can increase your risk of
developing infectious keratitis or make existing
keratitis worse.
 Eye injury. If one of your corneas has been
damaged from an injury in the past, you may be
more vulnerable to developing keratitis.
To explain sign Signs and symptoms Student teacher explained clinical Explain signs and
O8 2 min and symptoms features with the help of FLASH card symptoms of
 Eye redness
of keratitis and PPT keratitis
 Eye pain
 Excess tears or other discharge from your eye
 Difficulty opening your eyelid because of pain or
irritation
 Blurred vision , photophobia
 A feeling that something is in your eye
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY EVALUATION
OBJECTIVES
WITH AV AIDS

09 3 MIN To explain Pathophysiology Explain

Pathophysiology Pathophysiology of
Defect in corneal epithelium which is protective layer of Student teacher explains the
of keratitis keratitis ?
cells at surface of cornea Pathophysiology with the help of chart

Allows microorganisms to invade the cornea and cause

infection

inflammatory response

cerebral oedema occur which impair function of cornea

To explain Diagnosis Explain diagnostic

10 2 min teacher explained the diagnostic
Diagnostic criteria of keratitis?
criteria with the help of PPT and
criteria of Your eye care provider will first ask you questions
blackboard
keratitis about your symptoms and medical history.

A complete eye exam: Your provider will use bright

lights and a microscope to look at your eyes.

A culture of discharge from your eye: Your provider

will send a swab with the discharge to a lab for
identification.

Fluorescein stain test: Your provider will put dye into

your eye and then look at it with a blue lamp.
S.NO TIME SPECIFIC CONENT TEACHING LEARNING ACTIVITY EVALUATION
OBJECTIVES
AV-AIDS

11 4 min To discuss Management Student teacher discussed management Discuss management

Management of keratitis with the help of PPT and of keratitis?
of keratitis If you have a mild case of keratitis, your provider may blackboard
suggest using lubricant eye drops and letting your eye
heal on its own.
However, medication normally treats infectious keratitis.
If you have a bacterial infection, you’ll get antibiotic eye
drops. If you have a fungal infection, the eye drops will
contain antifungal medication. If you have a virus, your
provider will prescribe antiviral eye drops( acyclovir,
famciclovir 500mg or 800mg tid).
After a bacterial or viral infection clears up mostly or
completely, your provider might suggest steroid eye drops
to reduce swelling, ( betamethasone and dexamethasone)
For pain, your provider might give you eye drops that
dilate your eye.
If you have advanced keratitis, you may need oral
medication to treat infections.(cefuroxime, vancomycin )
If you don’t respond to medication and keratitis is causing
scars on your cornea, you may need a cornea transplant.
(keratoplasty) Discuss
12 3 min To discuss Student teacher discussed complications of
Complications Complications complications with the Help of PPT keratitis ?
of keratitis and Black board
 Severe acute pain (90%)
 Infections scarring rash (85%)
 Conjunctivitis and scleritis (75%)
 Glaucoma and cataract (10%)
 Lid distortion (70%)

s. no Time Specific Content Teaching learning activity with Evaluation

 objective AV AIDS
13 2 min To discuss PREVENTION Student teacher discussed Discuss prevention
Prevention of prevention of keratitis with the of Keratitis?
You can reduce your risk of developing keratitis by:
keratitis help of PPT and black board
Following instructions on how long to wear your
contact lenses.
Making sure your hands are clean if you have to
touch your eyes.
Following instructions on cleaning and sanitizing
your contact lenses.
Not swimming, showering or using the hot tub when
you’re wearing your contact lenses.
Practicing good hand washing techniques and
avoiding contact with people who are sick.
Wearing protective eyewear while working and
participating in sports.
so today we learned about keratitis or corneal
Summarization inflammation , in this topic we discussed its Student teacher summarizes the
14 3 Min
of the topic definition , epidemiology , risk factors , its topic
Pathophysiology , clinical features, diagnostic
evaluation , management complications and its
prevention

Conclusion of this topic: keratitis is eye disorder which are caused by many factors , the disease can be prevented by appropriate diagnosis and
treatment at early and prevent future complications .by following steps of prevention we can reduce the burden of this disease .thank you for your
attention .
BIBLIOGRAPHY:
1. Data P. pediatric Nursing. 4th edition . New Delhi , India, : Jaypee Brothers Medical :2018 .page number 319&320
2. Varghese, S.& Susmitha, A. (2015). Textbook of pediatric nursing. Jaypee brothers Medical. page number 358
3. 3. Ghai, O. P. (2010). Ghai Essential Pediatrics. CBS Publishers & Distributors page number 765

REFRENCES :

1. Keratitis. (2022, September 15). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/keratitis/symptoms-causes/syc-20374110

2. Keratitis. (n.d.). Cleveland Clinic. Retrieved February 16, 2024, from https://my.clevelandclinic.org/health/diseases/24500-keratitis