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Research Paper | Ophthalmology | India | Volume 12 Issue 6, June 2023 | Rating: 5.3 / 10
Clinical Profile of the Patients of Fungal Corneal Ulcer: A Hospital Based Study
Dr. Jitendra Kumar [9] | Dr. Amit Rao | Dr. Shikha Tolia
Abstract: Purpose: To investigate the predisposing factors and clinical presentations of mycotickeratitis Methods: This was a prospective study of cases with fungal keratitis, done between June 2022 and May 2023 who presented to OPD of Department of Ophthalmology, Maharani Laxmi Bai Medical College, Jhansi. Comprehensive history, Best corrected visual acuity, anterior segment assessment using Slit lamp biomicroscopy, flourescein staining, and IOP measurement using noncontact tonometry are all part of the clinical examination which were taken. Investigations were conducted, including Gram?s staining, culture on Sabourauds dextrose agar, and corneal scrapings for KOH wet mount. The objective is to assess the risk factors, etiological agents, and prognosis in patients with fungal corneal ulcers. Results: Males made up the majority of cases (52%) in our study. The affected people were mostly residing in the rural areas.17 patients were involved in agricultural activities. The people of 41 - 60 years of age were particularly prone to this disease. A history of ocular trauma was the most frequent risk factor for fungal keratitis, and 14 patients had a history of trauma including vegetative matter. Aspergillus fumigates was the most prevalent causal agent among fungi, followed by several Fusarium species. Pain was the most prevalent presenting symptom which was seen in 89% of patients, followed by corneal infiltrate with satellite lesions (64%), watering (56%), total corneal ulcer with hypopyon (48% of patients), burning or foreign body sensation in the eyes Conclusion: The identification of the etiology and the predisposing factors of corneal ulcers in this region are important for the prevention and early treatment of the disease. Usually, patients with mixed bacterial and fungal keratitis have poor prognosis. Thus, when the infectious keratitis is running an atypical course or found unresponsive to the initial medical treatment, the possibility of a mixed infection by bacterial and fungal organisms should be considered.
Keywords: Fungal corneal ulcer, etiological agent
Edition: Volume 12 Issue 6, June 2023,
Pages: 2007 - 2010