A Clinical Study of Suppurative Keratitis

Abstract

Objectives : To find out the aetiological agents and clinical features of suppurative keratitis and to evaluate the adequacy of current therapy available in treating suppurative keratitis. Materials and Methods This study included 100 patients with microbial keratitis who attended the ophthalmology OPD and were admitted to the hospital attached to JJM MEDICAL COLLEGE, between March 2014 to January 2015 .All patients were evaluated in detail for demographic data,clinical features and management. Results: Sex incidence was 60% male and 40% female. The incidence of suppurative keratitis was more between the age of 20 to 60 years(80%).Trauma contributed to 72% of corneal ulcer while there was no history of trauma in 28% of cases.Filamentous fungi(Fusarium and Aspergillus) accounts for majority of infection (45%) while Staphylococcus aureus form the main pathogenic bacterial organism(15%).All 100 cases were treated with antimicrobial medical therapy. 8 patients(8%) required surgical management.2(2%) patients underwent therapeutic penetrating keratoplasty and 6(6%)cases eventually required eviscereation. Conclusion: Fungal keratitis is more common than bacterial keratitis. Filamentous fungi (Aspergillus and Fusarium) and Staphylococcus aureus were the most common fungi and bacteria respectively. A rapid presumptive diagnosis of suppurative keratitis may be possible by assessing common clinical characteristics.Most community acquired suppurative ulcers resolve with appropriate treatment.Delay in diagnosis probably contribute to poorer outcome from therapeutic measure.