Clinical Study and Management of Bacterial Corneal Ulcer
Journal Title: Ophthalmology and Allied Sciences - Year 2017, Vol 3, Issue 2
Abstract
Context: Corneal blindness is a major challenge faced today in the whole world; corneal ulcers being the most common cause. Bacterial corneal ulcers should be recognized and treated at the earliest as they can lead to permanent sight threatening complications. Aims: To study clinical course, antibiotic sensitivity pattern and treatment aspects of bacterial corneal ulcers. Settings and design: Prospective clinical study carried out at department of Ophthalmology, Karnataka Institute of Medical Sciences, Hubli. Methods and Material: A prospective clinical study was carried out. All patients attending ophthalmology out patient during the study period of November 2010 to May 2012 with definitive signs and symptoms of corneal ulcers were included in the study. Bacterial corneal ulcers were specifically studied in detail after microbiological evaluation. Statistical Analysis: Data was entered in Microsoft Excel worksheet and analyzed using proportions. Statistical test like chi square test was used wherever appropriate. P value of less than 0.05 was considered as statistically significant. Results: Majority of ulcers were caused by staphylococcus aureus (33.34%), followed by Pseudomonas (23.81%), Klebsiella (14.29%), Staphylococcus epidermidis (9.52%), alpha hemolytic streptococci (7.14%), beta hemolytic streptococci (4.76%), Streptococci pneumonia (4.76%), E. coli (2.38%). Fluorquinolone monotherapy was used in 64.39% cases. Surgical debridement was done in 76.2%. Most common complication was healed corneal scar in 69.05% of cases. Conclusion: Microbiological evaluation is the most important step in the management of bacterial corneal ulcer.
Authors and Affiliations
Savitha Kanakpur
Keywords
Related Articles
- EP ID EP470877
- DOI 10.21088/oas.2454.7816.3217.13
- Views 92
- Downloads 0
Assessment of the Awareness and Knowledge of Glaucoma among Households in Rural and Urban Field Practice Areas of Shimoga Institute of Medical Sciences, Shimoga, Karnataka
Background: Several challenges exists in rural areas, as most ophthalmologists are concentrated in urban areas, this leaves many people without access to regular eye exams or treatment, which is vital in preventing perma...
Influence of Diabetes on Cataract: A Study in A Tertiary Care Centre
Introduction: A cataract is opacity of the lens that interferes with vision, and is the most frequent cause of visual impairment. It is always important it identify the risk factors that affect the development and progre...
A Clinical Study of Traumatic Cataract and Associated Ocular Injuries
Introduction: Cataract (opacification of the lens) affects vision in a significant way. Traumatic cataract caused by different modes of ocular trauma contributes adequately to the quantum of cataract blindness. The prese...
Evaluation of Pseudo Exfoliation Syndrome and Its Associated Intra Operative and Post Operative Complications in Cataract Surgery
Background: The association of pseudoexfoliation with blindness and aging has public health implication for India; this is especially so considering the burden of cataract with aging and the association of pseudoexfoliat...
Cross-sectional Study of Myopia among Medical Students
Introduction: Refractive error is the inability of the optical system to bring an image to the sharp focus on the retina. Myopia is an optical aberration of the eye whereby objects at a distance are not focused onto the...