PROFILE OF CORNEAL ULCER IN A TERTIARY EYE CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 24
Abstract
To review the epidemiological characteristics, microbiological profile, and treatment outcome of patient with microbial keratitis. [b]METHODS AND MATERIALS[/b]: All the patients presenting with chief complains of pain, redness, photophobia, watering, and who on examination were stain positive with corneal stromal infiltrate underwent standard microbiological evaluation of their corneal scrapings. Patients were divided into bacterial, viral, and fungal keratitis as diagnosed on the basis of clinical and microbiological findings and treatment was started. [b]RESULTS[/b]: Out of 67 cases of microbial keratitis 12 (17.9%) were culture-proven. Patients with agriculture-based activities were at greater risk of developing microbial keratitis and patients with ocular trauma were more likely to develop microbial keratitis. A significantly larger number of patients with fungal keratitis required surgical intervention compared to bacterial and viral keratitis. Healed corneal scar was observed in 36 (53.7%) of patients with bacterial, fungal and viral keratitis. [b]CONCLUSION[/b]: While diagnostic and treatment modalities are well in place the final outcome is suboptimal in fungal keratitis. With more effective treatment available for bacterial and viral keratitis, the treatment of fungal keratitis is truly a challenge.
Authors and Affiliations
Gupta R. C, Jain A. M, Kushwaha R. N, Jaiswal K, Tiwar S
Keywords
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- EP ID EP143378
- DOI 10.14260/jemds/858
- Views 86
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