The Role of Topical Steroids in Bacterial Keratitis: An Evidence-Based Clinical Review

Purpose

Bacterial keratitis remains a sight-threatening ocular emergency requiring prompt diagnosis and treatment. The role of adjunctive topical corticosteroids in bacterial keratitis has been debated for decades, with conflicting evidence regarding their benefits and risks. This comprehensive review synthesizes current evidence to provide clinicians with practical guidance on the judicious use of corticosteroids in bacterial keratitis.