CLINICAL PROFILE AND MANAGEMENT OF MYCOTIC CORNEAL ULCER IN A TERTIARY EYE CARE CENTRE OF COASTAL ODISHA

Dr. Suresh Chandra Swain, Dr. Deepak Choudhury, Dr. Satyanarayan Mallick, Dr. Nikita Dash, Prof. Dr. P.K. Nanda, Prof. Dr. I. Rath

Abstract


Aim:- To 􀃶nd out clinical pro􀃶le and management of mycotic corneal ulcer in patients attending eye department of
a tertiary care hospital of coastal Odisha. This study was a prospective intervMaterials and methods:- entional
study of 2 years duration (Oct 2015 to Sept 2017). 240 diagnosed fungal corneal ulcer cases with KOH mounting positive were included in
this study. Detailed history taking and ocular examination was done. Samples were sent for identi􀃶cation of organism after corneal
scrapping. Medical and surgical management was done according to severity. Results:- 240 cases were studied. Majority of cases were in
working age group (21- 60 years). Male: female ratio was 2.6: 1. Agricultural workers were affected more (57.5%). 30% cases had history of
trauma with vegetative matter. Central corneal ulcer was present in 55% cases. 50% cases has size < 20 sqmm. Aspergillus spp. was most
common organism found (30%) followed by Fusarium (29.2%). Topical natamycin was the most common antifungal drop used. Ulcers with
deep stromal and full thickness involvement were treated with systemic antifungals. Vision improved only in 12.5% cases. Conclusion:-
Prompt diagnosis and treatment is important in cases of fungal corneal ulcer.


Keywords


Fungal corneal ulcer, Aspergillus, Natamycin

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