Abstract
Filamentary keratitis (FK) is an uncommon ocular surface disease associated with formation of filaments attached to the corneal surface. These filaments are composed of a complex of epithelial cells, mucus, and inflammatory cells. FK is a clinical diagnosis made on biomicroscopy examination. Filaments are visible as gelatinous strands or protrusions attached to the corneal epithelium of variable size, shape, and distribution. FK is typically associated with other ophthalmic and systemic diseases, most often dry eye disease with or without Sjögren syndrome. Patients with FK typically suffer from eye pain and foreign body sensation. Symptoms can be severe and sometimes debilitating. The treatment of FK can be challenging and requires the management of dry eye disease and any associated ophthalmic or systemic diseases.
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