Management of Mycotic Management of Mycotic Keratitis Keratitis Chief author: Sudesh Chief author: Sudesh Kumar Arya Kumar Arya Co-authors Co-authors : Anamika Garg : Anamika Garg Jagdish Jagdish Chander Chander Archana Archana Malik Malik Sunandan Sunandan Sood Sood The Authors have no financial interest ID : 325 Department of Ophthalmology and Microbiology Government Medical College & Hospital Chandigarh,India
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Management of Mycotic Management of Mycotic KeratitisKeratitis
Archana Malik Archana Malik Sunandan SoodSunandan Sood
The Authors have no financial interest
ID : 325
Department of Ophthalmology and Microbiology Government Medical College & Hospital
Chandigarh,India
Infective keratitis is a suppurative infection of cornea which may be
associated with epithelial defects and / or signs of inflammation.
FungiFungi - responsible for nearly - responsible for nearly 1/31/3rdrd of infective keratitis of infective keratitis
Mycotic keratitis remains a diagnostic and therapeutic challenge to Mycotic keratitis remains a diagnostic and therapeutic challenge to thethe
ophthalmologist. Difficulties are related to establishing a clinical ophthalmologist. Difficulties are related to establishing a clinical diagnosis, isolating the etiologic fungal organism in the laboratory, diagnosis, isolating the etiologic fungal organism in the laboratory, and treating the keratitis effectively with topical antifungal agents and treating the keratitis effectively with topical antifungal agents or by surgery.or by surgery.
Aim of the StudyAim of the Study To find out demographic profile, type of intervention and final To find out demographic profile, type of intervention and final
outcome of mycotic keratitis in a tertiary care centre.outcome of mycotic keratitis in a tertiary care centre.
Introduction
Materials and Materials and MethodsMethods
Retrospective analysis of case records of Retrospective analysis of case records of
82 eyes of 82 patients from 2004 – 2009 82 eyes of 82 patients from 2004 – 2009
having mycotic keratitis was done.having mycotic keratitis was done.
Exclusion criteria:Exclusion criteria: Proven case of bacterial or viral keratitisProven case of bacterial or viral keratitis Mixed corneal ulcerMixed corneal ulcer
Demographic profileDemographic profile of patient of patient
Relevant history (Relevant history (Predisposing factorPredisposing factor))
Grading of ulcerGrading of ulcer ( size of ulcer, size of corneal infiltrates, ( size of ulcer, size of corneal infiltrates,
scleral involvement, size of perforation if any)scleral involvement, size of perforation if any)
ConclusionsConclusions Mycotic keratitis is a preventable cause of corneal Mycotic keratitis is a preventable cause of corneal
blindness.blindness.
Prompt clinical diagnosisPrompt clinical diagnosis aided with aided with Microbiological Microbiological
supportsupport is vital for success of Medical Therapy is vital for success of Medical Therapy
Surgical intervention is one of the most important Surgical intervention is one of the most important
modalities for salvaging the eye in mycotic keratitis. modalities for salvaging the eye in mycotic keratitis. Early surgical intervention is advocated if patient is Early surgical intervention is advocated if patient is
not responding to treatment.not responding to treatment. Predisposed persons should be Predisposed persons should be educated for proper educated for proper