A prospective study of clinical profile, epidemiology and etiological diagnosis of corneal ulcer in North-West Rajasthan

Authors

  • Rashmi Kewaliya Joshi Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India
  • Rekha Kumari Goyal Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India http://orcid.org/0000-0001-9751-1453
  • Anju Kochar Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20175327

Keywords:

Aspergillus fumigatus, Corneal ulcer, Rural area

Abstract

Background: To determine clinical profile, epidemiological and etiological diagnosis of corneal ulcer in North-West Rajasthan.

Methods: One hundred thirty three patients who were treated for corneal ulcer were enrolled in this study from February 2015 to May 2017. The historical aspect including symptoms, duration of ulcer and relevant local and systemic predisposing factor and detailed ocular examination were noted. Corneal scrapings were taken up in almost all cases except few cases and sent for microbiological assessment.

Results: 66.9% were males and 33.08% females. Most common age group was between 30-60 years and majority of patients were from rural areas. Most common pathogen was found Aspergillus fumigatus.

Conclusions: Corneal ulcer was seen predominantly in males of 30-60 years of age of rural background. Aspergillus fumigatus being most common etiological organism. 

Author Biographies

Rashmi Kewaliya Joshi, Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India

Associate Professor, Department of Ophthalmology, S.P. Medical College, Bikaner (Rajasthan)

Rekha Kumari Goyal, Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India

3rd Year Resident, Department of Ophthalmology, S.P. Medical College, Bikaner (Rajasthan)

Anju Kochar, Department of Ophthalmology, S.P. Medical College, Bikaner, Rajasthan, India

Proessor, Department of Ophthalmology, S.P. Medical College, Bikaner (Rajasthan)

References

Whitcher JP, Srinivasan M, Upadhyay MP. Corneal blindness: A global perspective. Bull World Health Organ. 2001;79:214–21.

Rekhi GS, Kulshreshtha OP. Common causes of blindness: A pilot survey in Jaipur, Rajasthan. Indian J Ophthalmol. 1991;39:108–11.

Tilak R, Singh A, Maurya OP, Chandra A, Tilak V, Gulati AK. Mycotic keratitis in India: A five-year retrospective study. J Infect Dev Ctries. 2010;4:171–4.

Bharathi JM, Srinivasan M, Ramakrishnan R, Meenakshi R, Padmavathy S, Lalitha PN. A study of the spectrum of acanthamoeba keratitis: A three-year study at a tertiary eye care referral center in South India. Indian J Ophthalmol. 2007;55:37–42.

Garg P, Krishna PV, Stratis AK, Gopinathan U. The value of corneal transplantation in reducing blindness. Eye (Lond). 2005;19:1106-14.

Causes of blindness and visual impairment. Available at: http://www.who.int/blindness/ causes/en/. Accessed on 30 October 2011.

Resnikoff S, Pascolini D, Etya′ale D, Kocur I, Pararajasegaram R, Pokharel GP, et al. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004;82:844-51.

Srinivasan M, Gonzales CA, George C, Cevallos V, Mascarenhas JM, Ashokan B, et al. Epidemiology and etiological diagnosis of corneal ulceration in Madurai, South India. Br J Ophthalmol. 1997;81:965-71.

Bashir G, Shah A, Thokar MA, Rashid S, Shakeel S. Bacterial and fungal profile of corneal ulcers-a prospective study. Indian J Pathol Microbiol. 2005;48:273-7.

Upadhyay MP, Karmacharya PC, Koirala S, Tuladhar NR, Bryan LE, Smolin G, et al. Epidemiologic characteristics, predisposing factors and etiological diagnosis of corneal ulceration in Nepal. Am J Ophthal. 1991;111:92-9.

Laspina F, Samudio M, Cibilis D, Ta CN, Farina N, Sanabria R, et al. Graefes Epidemiological characteristics of microbiological results on patients with infectious corneal ulcers: A 13 year survey in Paraguay, Arch Clin Exp Ophthalmol. 2004;242:204-9.

Chander J, Sharma A. Prevalence of fungal corneal ulcers in Northern India. Infection. 1994;22:207-9.

Leck AK, Thomas PA, Hagan M, Kaliamurthy J, Ackuaku E, John M, et al. Etiology of supportive corneal ulcers in Ghana and south India and epidemiology of fungal keratitis. Br J Ophthalmol. 2002;86:1211-5.

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Published

2017-11-23

How to Cite

Joshi, R. K., Goyal, R. K., & Kochar, A. (2017). A prospective study of clinical profile, epidemiology and etiological diagnosis of corneal ulcer in North-West Rajasthan. International Journal Of Community Medicine And Public Health, 4(12), 4544–4547. https://doi.org/10.18203/2394-6040.ijcmph20175327

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Original Research Articles