Contact Lens Induced Corneal Ulcer Management in a Tertiary Eye Unit in Oman - A descriptive study
Journal Title: Sultan Qaboos University Medical Journal - Year 2008, Vol 8, Issue 3
Abstract
Te corneal disease is a priority problem in Oman. We present patients with contact lens (CL) induced severe keratitis, admitted in the corneal unit of Al Nahdha Hospital in Oman. Methods: Te study was conducted in 2005-2006. Ophthalmologists examined the eyes using slit lamp bio-microscope. Visual acuity was noted using Snellen’s distance vision chart. Specimens of corneal scraping and CLs were sent for culture and sensitivity tests. Patients with severe keratitis were admitted and treated with medicines. Corneal and visual statuses were noted at the time of discharge from hospital and after six weeks. Numbers, percentages and their 95% confidence intervals were calculated. Pre- and post-treatment vision were compared using a scattergram. Results: Te 52 eyes of 5 males and 37 female patients with corneal ulcers were examined. Tirty-two patients were between 20 to 30 years of age. Only 3 (25%) patients had visited an ophthalmologist within 24 hours of developing severe keratitis. Seventeen (33%) had central ulcers and six (.5%) had ulcer ≥5 mm in size. Pseudomonas was found in 29 (55.8%) of CL and corneal material scraped from the eyes of 5 (28.8%) patients. Vision was <6/60 (legally blind) in 2 (23.%) eyes before and in five (9.6%) eyes after treatment. Twenty-six (50%) patients were lost to follow up. Conclusion: CL related severe keratitis causes visual disabilities. Prevention and proper records are essential. Treatment improves vision and hence facilities for management should be strengthened.
Authors and Affiliations
Rikin Shah| Department of Ophthalmology, Al Nahdha Hospital, Ministry of Health, Muscat, Oman, Manali Shah| Department of Ophthalmology, Al Nahdha Hospital, Ministry of Health, Muscat, Oman, Rajiv Khandekar| Eye & Ear Health Care, Department of Control of NonCommunicable Disease, Directorate General Health Affairs, Ministry of Health, Oman, Abdulatif Al-Raisi| Department of Ophthalmology, Al Nahdha Hospital, Ministry of Health, Muscat, Oman
Keywords
Related Articles
- EP ID EP13819
- DOI -
- Views 341
- Downloads 12
Jawetz, Melnick & Adelberg’s Medical Microbiology 24th Edition
Metered-dose inhaler technique among healthcare providers practising in Oman
Objective: To evaluate the correctness of metered-dose inhaler (MDI) technique in a sample of healthcare providers practising in Oman, considering that poor inhaler technique is a common problem both in asthma patients a...
Re: Prevalence and Determinants of Waterpipe (‘sheesha’) Tobacco use among Adolescents in Oman
Re: The Effect of Change in Posture on Spirometry in Patients with Obstructive Sleep Apnoea Syndrome
I read with great interest the original study by Al Lawati et al. published in the November 2019 issue of SQUMJ.1 Among a cohort of Omani obstructive sleep apnoea syndrome patients, the authors nicely compared spirometr...
Oxidative Stress and C-Reactive Protein in Patients with Cerebrovascular Accident (Ischaemic Stroke) The role of Ginkgo biloba extract
Tis study aimed to investigate the presence of oxidative stress and inflammation in ischaemic stroke patients by measuring malondialdehyde (MDA), total antioxidant status (TAS), and highlysensitivity C-reactive protein...