Long Standing, Non Healing Corneal Ulcer: Manegment Approach
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Corneal ulcer is one of the most common causes of visual acuity impairment and blindness all over the world. The aim of the study was to evaluate various factors affecting the corneal ulcers healing. A total of 93 Patients who were diagnosed as a case of corneal ulcer, were included in this retrospective study conducted in the Department of Ophthalmology, M.L.B.M.C, Jhansi, Uttar Pradesh, India over a period of 12 months. All data were taken retrospectively. An assessment of present complaints, detailed clinical history (present and past), Routine investigation (Random blood sugar, complete heamogram, ESR ect.), Slit lamp examination, corneal sensitivity, Fluorescein eye staining, KOH mount, Gram staining, and culture sensitivity was done. Topical antibiotic and other supportive therapy was given to all subjects in this study as the initial therapy. Treatment outcome of corneal ulcer is classified into improved, not improved (steady/worsen). Clinical improvement was noted in 60 patients. No improvement and clinical worsening were experienced in 33 patients. The male versus female ratio in this study was 2.1:1. Ocular trauma (51.61%) was the leading predisposing factor for corneal ulcer in our study. Most common causes of non healing corneal ulcer were depth and size of corneal ulcer (almost found in 80-90% cases) followed by meibomitis (39.39%), trichiasis (27.27%), chronic dacrocystitis (18.18%), and Diabetes mellitus (12.12%).
Authors and Affiliations
Dr. Jitendra Kumar, Dr. Preeti Chaubey, Dr. Vijay Pratap Singh,
Keywords
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- EP ID EP361029
- DOI 10.9790/0853-1702023739
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