Outcome of therapeutic penetrating keratoplasty in nonresponsive microbial keratitis cases
Journal Title: Medpulse International Journal of Ophthalmology - Year 2017, Vol 4, Issue 3
Abstract
Background: Microbial keratitis is a common vision threatening disease. Cases of microbial keratitis refractory to the medical treatment are difficult to treat. The treatment of these corneal ulcers usually requires penetrating keratoplasty. Aim: To evaluate outcome of therapeutic penetrating keratoplasty in nonresponsive microbial keratitis cases. Material and Methods: A total of 25 eyes of 25 patients who had undergone therapeutic PK due to non-resolving infectious keratitis despite optimum antimicrobial therapy were reviewed. Results: Out of 25 cases, 18 (72%) cases were male. Majority of the patients were agricultural workers13 (52%) and 07 (28%) were daily laborers. History of corneal trauma was obtained in 22(88%) of cases. Perforated corneal ulcer of fungal origin 19 (76%) was the most common indication of TPK in our study. The post-operative visual acuity improved to <6/60 in 7 (28%) patients, >6/60 in 13 (52%) patients. Clear grafts were obtained in 13 (52%) patients Conclusion: Therapeutic keratoplasty confirmed the role in the management of progressive corneal ulcers refractory to medical treatment. It helps in achieving anatomical integrity and improves the patients vision also.
Authors and Affiliations
Priyadarshani Patil Cholera, Manish S Pendse
Keywords
Related Articles
- EP ID EP259989
- DOI -
- Views 119
- Downloads 0
Microbial study of the lacrimal sac and its contents in patients of chronic dacryocystitis of the adult and the paediatric age group in a tertiary care hospital, Kishanganj, Bihar, India
Background: The disease entity of chronic dacryocystitis has numerous causes. The causes may be bacterial, fungal or mixed infections. Predominantly staphylococcus aureus and streptococcus pneumoniae and candida spp were...
Ocular diseases other than refractive errors among school children of Aurangabad city of Maharashtra: A cross-sectional study
Background: Ocular diseases during childhood involve a wide variety of eye disorders that adversely affect all round development of the child. This cross-sectional study was done to assess the Ocular diseases other than...
Spherical aberration and corneal asphericity in different grades of myopia
Purpose: The objective of this study was to find any possible relationship between spherical aberration, corneal asphericity and degree of refractive error using Hartmann- Shackâs aberrometry and Placido disc based corne...
Occurrence of post- operative complications in relation to the two types of surgeries; Phacoemulsification and small incision cataract surgery
For over a century, it has been recognized that cataract incisions influence astigmatism. Astigmatism after the cataract extraction is generally ATR variety, which is caused by some degree of steepening of the corneal me...
A study of risk factors of age related macular degeneration in elderly patients attending OPD of ophthalmology in tertiary care hospital
Background: Age-related macular degeneration (AMD) is an important cause of visual impairment and blindness worldwide. The number of people affected by the disease is expected to rise due to increasing longevity. Develop...