Volume : VII, Issue : X, October - 2018

SPECTRUM OF FUNGAL KERATITIS

Dr. Malladi Padma, Dr. V. Sravya, Dr. D. Padma Prabha, Dr. P. Padmavathi

Abstract :

Fungal keratitis is a serious ocular infection with potentially devastating visual outcome and a public health problem.

AIM : In this study, an attempt has been made to assess severity of clinical progression.

BACKGROUND: Filamentous fungi such as Aspergillus and Fusarium species are common pathogenic organisms. Ocular trauma with vegetative matter such as a anch of a tree, oom stick injury, is responsible for causing fungal keratitis.

MATERIAL AND METHODS :

28 patients (15 males,13 females) attending Out Patient department of Corneal services in tertiary eye care hospital and clinically diagnosed as fungal keratitis were included in the study. Corneal scrapings were sent for KOH smear and culture sensitivity . Based on the clinical suspicion antifungal treatment (Natamycin 5%) started depending on the severity of the disease.

 

STUDY DESIGN: Prospective study.

DURATION OF STUDY : January 2017 to March 2017 (3 Months).

INCLUSION CRITERIA :

Patients with history of injury with vegetative matter were included.

EXCLUSION CRITERIA:

Keratitis due to Bacteria, Virus,Non-infectious keratitis were excluded.

RESULTS:

KOH smear was positive in 19 patients with culture sensitivity on Sabouraud‘s Dextrose agar showed fungal growth in all patients after  around 3 weeks of culture. Among 28 patients ,15 were males and 13 were females and agricultural workers by occupation with history of trauma with vegetative matter. No age or sex predilection observed. Patients were in varying age group from 20-70 years indicating vegetative matter trauma as the causative factor. 24 patients who had mild to moderate corneal involvement responded to medical corneal involvement responded to medical management. 4 patients had severe corneal ulceration leading to total corneal abscess and required Therapeutic Keratoplasty.

Keywords :

Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Dr.Malladi Padma, Dr.V.Sravya, Dr.D.Padma Prabha, Dr.P.Padmavathi, SPECTRUM OF FUNGAL KERATITIS, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-10 | October-2018

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