corneal involvement in phlyctenular kerato-conjunctivitis

1. CORNEAL
INVOLVEMENT IN
PHLYCTENULAR
KERATO-
CONJUNCTIVITIS

2. Corneal involvement in phlyctenular conjunctivitis
occurs in two forms:
Ulcerative phlyctenular keratitits
Diffuse infiltrative keratitits
Again Ulcerative phlyctenular keratitis occurs in
two forms:
1.Sacrofulous ulcer
2.Fascicular ulcer
PHLYCTENULAR
KERATITIS
ULCERATIVE
PHLYCTENULAR
KERATITIS
SACROFULOUS
ULCER
FASCICULAR
ULCER
DIFFUSE INFILTRATIVE
PHLYCTENULAR
KERATITIS

3. Sacrofulous ulcer
It is a shallow marginal ulcer formed
due to breakdown of small limbal phlycten.
It differs from the cattarhal ulcer that in that
there is no clear space between the ulcer and the
limbus and its long axis is frequently
perpendicular to the limbus
It clears out without leaving any opacity.

4. Fascicular ulcer:
It has a prominent parallel leash of blood vessels.
This ulcer usually remains superficial but leaves
behind a band shaped superficial opacity after
healing.

5. Treatment:
Local therapy:
•Topical steroids (dexamethasone/betamethasone).
•Atropine 1% ointment O.D.
•Antibiotic drops for associated bacterial infection.
Specific therapy:
Treat the cause such as tuberculosis, septic foci,
parasitic infestations.
General measures:
•High protein diet
•Vitamin A, C, D supplementation.