Presenter: Dr. Sabita Kumari, Co-authors: Dr S.Banait, Dr. Sachin Daigavane. Department of Ophthalmology, Jawarharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Sawangi, Wardha.

1.  Presenter: Dr. Sabita Kumari
Co-authors: Dr S.Banait, Dr. Sachin Daigavane
 Department of Ophthalmology, Jawarharlal Nehru Medical College &
Acharya Vinoba Bhave Rural Hospital, Sawangi, Wardha.
“CLINICAL PROFILE OF PATIENTS
OF ULCERATIVE KERATITIS”

2.  The problem of blindness is universal but the magnitude is
much more in India having 1/4th of the worlds total blind
population.
 Corneal infections are a leading cause of ocular morbidity
and blindness in developing countries.
 In India 15.4% of blindness are attributed to corneal
diseases.
 It is estimated that 6.8 million people who have vision less
than 6/60 in one eye is due to corneal diseases.
INTRODUCTION
.Chirambo MC, Tielsch JM, West KP Jr, et al. Blindness and visual impairment in southern Malawi. Bull World Health Organ. 1986;64:567–572

3.  Corneal blindness is next to cataract as major cause of
blindness in the world.Ocular trauma and corneal
ulceration are significant contributors.
 Corneal blindness is responsible for 1.5-2million new
cases of monocular blindness every year.
 The reported incidence of corneal ulceration in india is
1130/million population.
 A large number of etiological factors such as infective,
toxic, nutritional and occupational are responsible.
.Rapoza PA,West SK, Katala SJ, et al. Prevalence and causes of vision loss in central Tanzania. Int Ophthalmol. 1991;15:123–129.

4.  Untreated ulcerative keratitis may result in
corneal perforation with potential for
development of endophthalmitis and may
require evisceration.
 So it is necessary to be aware of the
clinical presentation of ulcerative keratitis
to promptly suspect its presence and
implement optimal treatment.
 Early diagnosis and rational therapy
reduces the dreaded complications of ulcer.
Purpose of study

5.  To determine the predisposing factors, demographic
characteristics and etiology of ulcerative keratitis in
tertiary care.
 To determine the clinical presentation of ulcerative
keratitis in tertiary care.
AIMS AND OBJECTIVES

6. 1) STUDY DESIGN:
It is a Cross sectional descriptive study
2) SAMPLE SIZE: 50 patients
3) Methodology: Detailed history was taken
,Examination of the anterior segment and corneal
ulcer was done with the help of slit lamp bio
microscopy,Fundus examination was
done,Lacrimal sac syringing,Fluoroscein
staining,Complete lab investigations were done.
MATERIALS & METHODS

7. <20
years ,
4%
20 -40
years ,
24%
41 -60
years ,
56%
Above 60
years ,
16%
Table No.1: Age wise distribution
Male , 74%
Female ,
26%
Table No.2 : Gender wise distribution

8. 0%
10%
20%
30%
40%
50%
60%
70%
80%
Rural Urban
74%
26%
%ofpatients
Area of Residence
Table 3.: Distribution according to area
0%
20%
40%
60%
Farmers Labourers Others
42% 36%
22%
%ofpatients
Occupational Status
Table No.4: Occupation wise distribution

9. 0%
5%
10%
15%
20%
25%
30%
35%
40%
40%
24%
20% 16%
%ofpatients
Treatment Taken
Table 5:Treatment taken before consulting an ophthalmologist
44%
10%
4% 6% 12% 10% 14%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
%ofpatients
Risk Factors
Table No.6: Risk factors distribution

10. CENTRAL ,
54%
PERIPHERAL
, 32%
NOT
DIFFERENTI
ATED , 14%
0%
50%
LESS
THAN
2MM
2-5MM MORE
THAN
5MM
WHOLE
OF
CORNEA
18%
46%
24%
12%
%ofpatients
Size of lesion
Table 8.:Size of ulcer
Table 7.:Site of ulcer

11. 0%
20%
40%
60%
80%
6/6-6/60 CF-6/60 PL+,PR+ NO PL
10%
64%
26%
0%
%ofpatients
BCVA at presentation
Table 9.:BCVA at presentation
4%
12%
40%
6% 4%
8% 6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
%ofpatients
Complications
Table 10.:Complications and sequelae

12.  Maximum incidence rate was seen in males belonging to
rural areas.
 Farmers were commonly affected and also people from
lower socioeconomic strata .
 Trauma was the most common predisposing factor.
 The predisposing factors of corneal ulcer in this region are
important for the prevention and early treatment of the
disease.
conclusion