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Dr. Natasha Herz Discusses Microbial Keratitis

posted Feb 18, 2013, 6:10 PM by Jen Weigel   [ updated Feb 23, 2013, 2:11 PM ]
From our guest blogger Nicole Lowry:

On February 13, 2013, TLC Rockville kicked off our 2013 Continuing Education Series with a presentation from Natasha Herz, MD on microbial keratitis. Dr. Herz is a board-certified ophthalmologist and is also fellowship-trained in cataract and cornea surgery.  Check out the practice website for Kensington Eye Center.


Despite a little bit of rain, sleet, and snow, we had a full house as close to 30 Affiliates joined us for the presentation.  We had guests from as far south as Fredericksburg, VA, and as far north as Gettysburg, PA! Thanks to all that attended.  We hope to see you for our next course!

Our second guest blogger, Dr. Jim Smergilio, adds some clinical perspective also:

Natasha Herz, M.D. gave a very informative lecture on microbial keratitis at TLC Rockville.  Through slides and lecture, she was able to give great differentials between sterile and non-sterile infiltrates, and bacterial vs fungal vs acanthamoeba presentations.  

One of the many take homes was the importance of culturing a suspected infectious infiltrate.  If we suspect infection and can refer immediately for a culture, then it is more important to determine the offending bug than to initiate antibiotic therapy. Often the urge is to start the antibiotic in the office and then send for a culture.  However, Dr. Herz would have to stop the antibiotic for 24 hours in order to get a clean culture.  Thus, the initial treatment could actually delay the appropriate treatment for the patient.

Having worked with Dr. Herz for several years now, I’ve found her to be very accessible by phone to discuss the patient and the appearance of the cornea while the patient is in my chair.

TLC Rockville CE - Dr. Natasha Herz