Corneal Ulcers: Diagnosis and Management

by Rasik B Vajpayee, Namrata Sharma

Corneal opacity and scarring is one of the leading causes of vision loss and blindness worldwide. Although cataract may be the leading cause of bilateral blindness, corneal scarring accounts for a significant portion of unilateral and bilateral vision loss. Corneal scarring may result from specific conditions such as trachoma, xerophthalmia or onchocerciasis, or from less specific causes such as microbial keratitis following often relatively trivial trauma. In some areas one quarter of blindness may be due to corneal scarring. The development of a broad range of antimicrobial agents, anti-inflammatory drugs, and vastly improved and faster diagnostic methods has revolutionized our ability to treat corneal ulcers. The successful outcome for the management of corneal ulceration depends on the prompt use of the appropriate antimicrobials and the careful management of the healing phase. This is easy to say, but is much more involved to achieve. It requires good clinical and diagnostic skills and excellent laboratory services to make the correct diagnosis so as to be able to select the appropriate antimicrobial. The careful management requires the early recognition and correct management of a host of possible complications. Chapter in Section 2 on the work up of a corneal ulcer is particularly illuminating, especially the many color illustrations of microbiological organisms and the havoc they can bring to the cornea. There is an excellent step by step approach to diagnosing and managing corneal ulcers, from the simple ones to the most complex. Chapter on investigations of corneal ulcers in Section 2 is extremely well designed, with inclusive but not overwhelming tables on how to proceed with an ulcer work up. In Section 4, the chapters highlight specific types of microbial and immunologic keratitis, including pediatric and peripheral ulcerative keratitis. The surgical management section includes very high-quality illustrations on the use of glue and bandage contact lenses, conjunctival flaps, therapeutic keratoplasty and phototherapeutic keratectomy.

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Book Detail

Author
1. Vajpayee Rasik B
2. Sharma Namrata
Author's Affiliation
1. RP Center of Ophthalmology, AIIMS, Ansari Nagar, New Delhi 110 029, India
Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Centre for Eye Research, Australia
Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
Centre of Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Center for Eye Research Australia, University of Melbourne, Melbourne, Australia
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
RP Center of Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delh
2. All India Institute of Medical sciences New Delhi, India
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
RP Centre of Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences New Delhi, India
Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
All India Institute of Medical Sciences, RP Center, New Delhi, India
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India
ISBN
9788184482171
Speciality
Ophthalmology
DOI
10.5005/jp/books/10178
Edition
1/e
Publishing Year
2008
Pages
218
Book Type
Professional

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