Many thanks for alerting us to the microbiological profiles of microbial keratitis from our colleagues in the North East of England study. As our article had urged other authors to analyse their own local microbial data, we are delighted to see this work being undertaken in other areas of the UK.

This data highlights the need for individual local analysis in order to tailor appropriate antibiotic therapy. Similar rates of bacteria, fungi, and acanthamoeba are seen across the two centres. Indeed the increasing trend in gram positive pathogens, less than 150 miles from our centre is interesting. A similar but not statistically significant trend was seen in Moraxella keratitis infections, which chimes with our findings.

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