Moxifloxacin 0.5% eye drops (ulcer under 3 mm, off the visual axis), Fortified cefazolin 5% + tobramycin 1.3%, Atropine 1% eye drops
Advice and when to refer
Before the first drop: Corneal scraping for Gram stain, KOH and culture — fungal ulcers are common in India; no steroid drops (NCDC-ICMR 2025; AAO PPP 2024)
Investigations
First visit
Corneal scraping: Gram stain, KOH mount and culture — Before the first drop; fungal ulcers are common in India.
Visual acuity and slit-lamp examination — Size, depth and hypopyon.
Only if indicated
Blood glucose — Diabetes delays healing.
Follow-up and monitoring
Daily slit-lamp review — Until healing is clear; change treatment by culture at 48–72 h.
Locked
The adult dose for each drug
The child dose, where the card gives one
Indian brand names for each drug, with a link to buy
ICU Decoded — original critical-care and internal-medicine pathways by
Dr Javed Akhtar, each cited to a current guideline. For education and quick
reference; verify every dose against local protocols before prescribing.