# Complications of Bacterial Keratitis Impacted by Social Determinants of Health: A Case Report

## TL;DR

A homeless man's untreated bacterial eye infection worsened due to healthcare access issues, highlighting health disparities.

## Contribution

This case report illustrates how social determinants of health impact treatment outcomes in bacterial keratitis.

## Key findings

- The patient's homelessness and lack of consistent care led to advanced corneal ulceration.
- Multiple treatment interruptions resulted in preventable complications.
- Health disparities contribute to poor outcomes in infectious eye diseases.

## Abstract

The emergency department commonly evaluates eye pain and vision loss. Typically, these conditions can be managed outpatient; however, delays can lead to advanced pathology.

A 48-year-old homeless male presented with left-eye vision loss and pain. His exam revealed monocular decreased visual acuity, corneal ulcer, and hypopyon. The patient was diagnosed with bacterial keratitis and admitted for treatment but left against medical advice. He returned and was admitted for further treatment but was lost to follow-up thereafter.

Our case features complicated bacterial keratitis with several treatment interruptions, demonstrating how healthcare disparities contribute to potentially preventable advanced pathology.